Regina Devlin, CPNP, IBCLC, PMHS | |
8365a Greensboro Dr, Mclean, VA 22102-3530 | |
(703) 356-4444 | |
(703) 734-0129 |
Full Name | Regina Devlin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 8365a Greensboro Dr, Mclean, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225241342 | NPI | - | NPPES |
0001109557 | Other | VA | MULTI-STATE PRIVILEGE |
0017136894 | Other | VA | AUTH. TO PRESCRIBE VAONLY |
0024109557 | Other | VA | VA STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0024109557 (Virginia) | Primary |
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 |
---|---|
Regina Devlin, CPNP, IBCLC, PMHS 8365a Greensboro Dr, Mc Lean, VA 22102-3530 Ph: (703) 356-4444 | Regina Devlin, CPNP, IBCLC, PMHS 8365a Greensboro Dr, Mclean, VA 22102-3530 Ph: (703) 356-4444 |
Yasmin K. Anez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8365a Greensboro Dr, Mclean, VA 22102 Phone: 703-356-4444 Fax: 703-734-0129 | |
Meredith L Heltzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8008 Westpark Drive, 2nd Floor Allergy, Mclean, VA 22102 Phone: 703-287-6559 | |
Dr. Richard Vichitr Chusuei, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8373a Greensboro Dr, Mclean, VA 22102 Phone: 703-821-6621 Fax: 703-356-0991 | |
Chau L Thiede, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6711 Whittier Avenue, Suite 101, Mclean, VA 22101 Phone: 703-356-5722 Fax: 703-734-3823 | |
John G. Bitar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8365a Greensboro Dr, Mclean, VA 22102 Phone: 703-356-4444 Fax: 703-734-0129 | |
Dr. C. Isabel Jander, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8365a Greensboro Drive, Mclean, VA 22102 Phone: 703-356-4444 Fax: 703-734-0129 |