| Dean J Storer Md Pc | |
|
6000 Stevenson Ave Ste 208 Alexandria VA 22304-3526 | |
| (703) 379-7215 | |
| (202) 265-7804 |
| Full Name | Dean J Storer Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6000 Stevenson Ave Ste 208, Alexandria, Virginia |
| Authorized Official Name and Position | Dean James Storer (PRESIDENT) |
| Authorized Official Contact | 7033797215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean J Storer Md Pc 44050-195 Ashburn Plaza Box 710 Ashburn VA 20147 Ph: (703) 723-1980 | Dean J Storer Md Pc 6000 Stevenson Ave Ste 208 Alexandria VA 22304-3526 Ph: (703) 379-7215 |
| NPI Number | 1518091453 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 8224081567 |
|---|---|
| Medicare Enrollment ID | O20050225000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518091453 | NPI | - | NPPES |
| B571 | Other | DC | CAREFIRST BC BS |
| 007709889 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 0101-045175 (Virginia) | Primary |
| Provider Name | Andre V Gligor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427097567 PECOS PAC ID: 5092747345 Enrollment ID: I20050909000231 |
| Provider Name | Dean Storer |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1528095098 PECOS PAC ID: 9931275088 Enrollment ID: I20080915000061 |
| Provider Name | Cavetta G Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265979876 PECOS PAC ID: 3971880170 Enrollment ID: I20170706001617 |
| Provider Name | Katherine Virginia Warzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699169995 PECOS PAC ID: 2961718960 Enrollment ID: I20191101000572 |
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