Shawn James Mendonca, MD | |
2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 | |
(703) 680-2111 | |
(703) 878-3939 |
Full Name | Shawn James Mendonca |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 11 Years |
Location | 2296 Opitz Blvd Ste 350, Woodbridge, 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 |
---|---|---|---|
1619219052 | NPI | - | NPPES |
297137 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 297137 (New York) | Secondary |
208800000X | Urology | MD471068 (Pennsylvania) | Secondary |
208800000X | Urology | 0101280217 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Alexandria Hospital | Alexandria, VA | Hospital |
Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Lehigh Valley Hospital | Allentown, PA | Hospital |
Novant Prince William Medical Center | Manassas, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Potomac Urology Center, P.c. | 1557329406 | 17 |
Potomac Urology Center, P.c. | 1557329406 | 17 |
Entity Name | Potomac Urology Center, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861588592 PECOS PAC ID: 1557329406 Enrollment ID: O20070614000341 |
Mailing Address | Practice Location Address |
---|---|
Shawn James Mendonca, MD 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 Ph: (703) 680-2111 | Shawn James Mendonca, MD 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346 Ph: (703) 680-2111 |
Dr. Shawn Marhamati, M.D: Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Brian John Decastro, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd Ste 350, Woodbridge, VA 22191 Phone: 703-546-4782 Fax: 703-546-4782 | |
Ek Seng Lou, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
Dr. John Brian Klein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 | |
Dr. Pratik S Desai, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, Suite 350, Woodbridge, VA 22191 Phone: 703-680-2111 Fax: 703-878-3939 | |
William C. Reha, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2296 Opitz Blvd, #220, Woodbridge, VA 22191 Phone: 703-670-5107 Fax: 703-670-8435 |