Morgana Lustosa Colombo, | |
4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 | |
(703) 370-0073 | |
Not Available |
Full Name | Morgana Lustosa Colombo |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 18 Years |
Location | 4660 Kenmore Ave Ste 500, Alexandria, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760658942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 0101249297 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Dermatology Of Reston Llc | 4981971256 | 5 |
Entity Name | Integrated Dermatology Of Reston Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487186466 PECOS PAC ID: 4981971256 Enrollment ID: O20170517002532 |
Mailing Address | Practice Location Address |
---|---|
Morgana Lustosa Colombo, 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 Ph: (703) 370-0073 | Morgana Lustosa Colombo, 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 Ph: (703) 370-0073 |
Alysha Guillermina Colon, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4660 Kenmore Ave Ste 1100, Alexandria, VA 22304 Phone: 703-370-0073 | |
Kelly Jo Kaufman-green, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5249 Duke St Ste 5, Alexandria, VA 22304 Phone: 703-751-2616 Fax: 703-370-8275 | |
Dr. Nasir Akhtar Aziz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Ln Ste 311, Alexandria, VA 22310 Phone: 703-822-0222 | |
Dr. Ogechi C Onwudiwe, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 310 S Washington St, Alexandria, VA 22314 Phone: 703-795-9615 | |
Sebastian Salvatore Demarco, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 4660 Kenmore Ave Ste 1100, Alexandria, VA 22304 Phone: 703-370-0073 | |
Dr. Zetta Mariana Hester, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5911 Kingstowne Village Pkwy Ste 100, Alexandria, VA 22315 Phone: 571-449-2555 | |
Kristopher Jon Kaufman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5249 Duke St Ste 5, Alexandria, VA 22304 Phone: 703-751-2616 |