Ken Lee Moles, MD | |
9409 B Old Burke Lake Rd, Burke, VA 22015 | |
(703) 978-4200 | |
(703) 503-8263 |
Full Name | Ken Lee Moles |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 9409 B Old Burke Lake Rd, Burke, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396716379 | NPI | - | NPPES |
5638216 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101048454 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Home Health Llc | Fairfax, VA | Home health agency |
Inova Alexandria Hospital | Alexandria, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Privia Medical Group Llc |
---|---|
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 |
---|---|
Ken Lee Moles, MD 9409 B Old Burke Lake Rd, Burke, VA 22015 Ph: (703) 978-4200 | Ken Lee Moles, MD 9409 B Old Burke Lake Rd, Burke, VA 22015 Ph: (703) 978-4200 |
Dr. Alton Glenn Tucker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8991 Cotswold Drive, Burke, VA 22015 Phone: 703-440-4050 Fax: 703-440-8246 | |
Dr. Federico Sanabria, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9409b Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Dr. Nagui N Saleh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5999 Burke Commons Road, Burke, VA 22015 Phone: 703-249-7700 Fax: 703-249-7766 | |
Cheryl Anne Ostrowski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9409-8 Old Burke Lake Road, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Glenn Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9409 B Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Rebecca Verga, Family Medicine Medicare: Medicare Enrolled Practice Location: 9409 Old Burke Lake Rd, Burke, VA 22015 Phone: 703-978-4200 |