Theresa B Shupe, MD | |
14535 John Marshall Highway, Suite #105, Gainesville, VA 20155 | |
(703) 754-0425 | |
(703) 754-2888 |
Full Name | Theresa B Shupe |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 34 Years |
Location | 14535 John Marshall Highway, Gainesville, 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 |
---|---|---|---|
1902806474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101058776 (Virginia) | Secondary |
207Q00000X | Family Medicine | 0101058775 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Herndon, VA | Home health agency |
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: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Theresa B Shupe, MD 14535 John Marshall Highway, Suite #105, Gainesville, VA 20155 Ph: (703) 754-0425 | Theresa B Shupe, MD 14535 John Marshall Highway, Suite #105, Gainesville, VA 20155 Ph: (703) 754-0425 |
Anum Hasan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 13575 Heathcote Blvd Ste 210, Gainesville, VA 20155 Phone: 571-248-4620 Fax: 571-248-4374 | |
Dr. Shama Lalani, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14800 Lee Hwy, Gainesville, VA 20155 Phone: 703-743-7017 | |
Dr. Jennifer Nau, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14370 Lee Hwy, Suite 105, Gainesville, VA 20155 Phone: 703-754-4101 Fax: 703-754-1105 | |
Dr. Jason Vanvliet Hackett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7915 Lake Manassas Dr Ste 102, Gainesville, VA 20155 Phone: 703-754-4101 Fax: 703-754-1105 | |
Jocelyn Patricia Tan Serrano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13575 Heathcote Blvd Ste 210, Gainesville, VA 20155 Phone: 571-248-4620 Fax: 571-248-4374 | |
Dr. Victoria C Hammonds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8180 Stonewall Shops Sq, Gainesville, VA 20155 Phone: 703-753-9799 Fax: 703-753-9792 | |
Dr. Chung Y Woo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14800 Lee Hwy, Gainesville, VA 20155 Phone: 703-743-7017 |