| Neuroscience Consultants, Plc | |
|
12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479 | |
| (703) 478-0440 | |
| Not Available |
| Full Name | Neuroscience Consultants, Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12007 Sunrise Valley Dr, Reston, Virginia |
| Authorized Official Name and Position | David W Francis (BUSINESS MANAGER) |
| Authorized Official Contact | 3016209617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroscience Consultants, Plc Po Box 79429 Baltimore MD 21279-0429 Ph: (301) 620-9762 | Neuroscience Consultants, Plc 12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479 Ph: (703) 478-0440 |
| NPI Number | 1871508366 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 3577725282 |
|---|---|
| Medicare Enrollment ID | O20120425000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871508366 | NPI | - | NPPES |
| 463890C2 | Other | VA | MAMSI |
| 463890C2 | Other | VA | ALLIANCE |
| 223961 | Other | VA | ANTHEM |
| 4571 | Other | DC | CAREFIRST DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon D Peters |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689776106 PECOS PAC ID: 2062509300 Enrollment ID: I20071226000444 |
| Provider Name | Ruben Cintron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811904352 PECOS PAC ID: 4789771023 Enrollment ID: I20071227000175 |
| Provider Name | Richard Ospina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477658730 PECOS PAC ID: 5597855882 Enrollment ID: I20071227000179 |
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