Kathryn E Dietz, MD | |
20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165-6134 | |
(703) 539-6059 | |
Not Available |
Full Name | Kathryn E Dietz |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 20 Pidgeon Hill Dr Ste 208, Sterling, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427147396 | NPI | - | NPPES |
4704623 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101053428 (Virginia) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Mailing Address | Practice Location Address |
---|---|
Kathryn E Dietz, MD 2418 W Indian Trl Ste F, Aurora, IL 60506-1590 Ph: (630) 907-0578 | Kathryn E Dietz, MD 20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165-6134 Ph: (703) 539-6059 |
Dr. Sean Patrick Duffy, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 45305 Catalina Ct, Suite 103, Sterling, VA 20166 Phone: 703-435-7656 | |
Dr. Farhad Zangeneh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 46090 Lake Center Plz, Suite 106, Sterling, VA 20165 Phone: 703-444-4450 Fax: 703-444-4410 | |
Issam Khayata, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Pidgeon Hill Dr, Ste 205, Sterling, VA 20165 Phone: 508-334-3271 Fax: 508-856-5911 | |
Dr. Judith Lim Greco, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 46440 Benedict Dr Ste 107, Sterling, VA 20164 Phone: 703-450-1125 Fax: 703-777-3144 | |
Arvinder Chawla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21495 Ridgetop Circle, Suite 102, Sterling, VA 20166 Phone: 571-313-1980 Fax: 703-444-3921 | |
Rahel G Yirga, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165 Phone: 703-539-6029 Fax: 703-757-1712 |