Christopher A Reneau, NP | |
13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 | |
(703) 359-8640 | |
(703) 591-6105 |
Full Name | Christopher A Reneau |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, 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 |
---|---|---|---|
1356816862 | NPI | - | NPPES |
1356816862 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F09181315 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024176941 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Health Care Services | 2466351093 | 1778 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Virginia Surgery Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245218684 PECOS PAC ID: 8022111475 Enrollment ID: O20070306000098 |
Mailing Address | Practice Location Address |
---|---|
Christopher A Reneau, NP Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699 | Christopher A Reneau, NP 13135 Lee Jackson Memorial Hwy Ste 305, Fairfax, VA 22033-1907 Ph: (703) 359-8640 |
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