| Domonique Desiree' Trotter, CNM | |
|
19455 Deerfield Avenue, Suite 204, Leesburg, VA 20176-8102 | |
| (703) 858-1500 | |
| Not Available |
| Full Name | Domonique Desiree' Trotter |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 19455 Deerfield Avenue, Suite 204, Leesburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992374433 | NPI | - | NPPES |
| 1992374433 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 0024185930 (Virginia) | Primary |
| Entity Name | Loudoun Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Domonique Desiree' Trotter, CNM 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Domonique Desiree' Trotter, CNM 19455 Deerfield Avenue, Suite 204, Leesburg, VA 20176-8102 Ph: (703) 858-1500 |
Heather K Swartz, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176 Phone: 703-726-1300 Fax: 703-726-9612 | |
Courtney Walsh Marsh, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176 Phone: 703-726-1300 Fax: 703-726-9612 | |
Anne Zschoche Cockerham, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 19465 Deerfield Avenue, Suite 205, Leesburg, VA 20176 Phone: 703-726-1300 Fax: 703-726-9612 | |
Mrs. Susan G Magenheimer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 19455 Deerfield Avenue, Suite 204, Leesburg, VA 20176 Phone: 703-858-1500 Fax: 703-858-5022 | |
Kowthar A Sheikh-adam, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19450 Deerfield Ave, Ste 460, Leesburg, VA 20176 Phone: 571-707-8522 | |
Sarah Tarter, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19450 Deerfield Ave Ste 460, Leesburg, VA 20176 Phone: 571-707-8522 | |
Kariann Glasgow, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 19450 Deerfield Ave Ste 460, Leesburg, VA 20176 Phone: 571-707-8522 Fax: 571-707-8577 |