Andrew Roessler Martin, RN | |
24430 Stone Springs Blvd., Suite 100, Dulles, VA 20166-2269 | |
(703) 437-3850 | |
(703) 437-7888 |
Full Name | Andrew Roessler Martin |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 24430 Stone Springs Blvd., Suite 100, Dulles, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154174225 | NPI | - | NPPES |
30017828100001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024188281 (Virginia) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | 0024188281 (Virginia) | Secondary |
Entity Name | Loudoun Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407908817 PECOS PAC ID: 0042119661 Enrollment ID: O20040102000616 |
Mailing Address | Practice Location Address |
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Andrew Roessler Martin, RN 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Andrew Roessler Martin, RN 24430 Stone Springs Blvd., Suite 100, Dulles, VA 20166-2269 Ph: (703) 437-3850 |
Danah Jagueta Balmaceda, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-439-4000 | |
Woon Go, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Suite 135, Dulles, VA 20166 Phone: 703-957-1255 | |
Mrs. Annette Dorothy Blakeslee, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9900 Vienna Pl, Dulles, VA 20189 Phone: 431-320-0367 Fax: 131-339-2915 | |
Chandler Clark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24440 Stone Springs Blvd, Dulles, VA 20166 Phone: 571-349-4000 | |
Christina L Denton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166 Phone: 703-766-5040 | |
Haena Bryant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24430 Stone Springs Blvd Unit 425, Dulles, VA 20166 Phone: 703-722-5860 |