John Shyllon, | |
3180 Fairview Park Dr, Falls Church, VA 22042-4583 | |
(703) 712-2798 | |
Not Available |
Full Name | John Shyllon |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3180 Fairview Park Dr, Falls Church, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255058160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 0024185579 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024185579 (Virginia) | Primary |
Entity Name | Capital Caring Advanced Illness Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659918381 PECOS PAC ID: 1153759626 Enrollment ID: O20201102000123 |
Mailing Address | Practice Location Address |
---|---|
John Shyllon, 3521 Coxcomb Mews, Woodbridge, VA 22193-5311 Ph: (703) 586-2587 | John Shyllon, 3180 Fairview Park Dr, Falls Church, VA 22042-4583 Ph: (703) 712-2798 |
Mrs. Cheryl Anne Fraser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4132 | |
Melissa Ann Mcclean, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 Telestar Ct, Falls Church, VA 22042 Phone: 703-396-6194 Fax: 703-779-1372 | |
Ms. Rebecca Timbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2960 Sleepy Hollow Rd, Falls Church, VA 22044 Phone: 703-531-6120 | |
Deborah M Hincewicz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-7512 Fax: 703-776-3700 | |
Kellyn Patricia Dodd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Arlington Blvd Suite 920, Falls Church, VA 22042 Phone: 703-241-2664 Fax: 703-241-5559 | |
Melissa Tremblay Eatherly, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Ms. Jami Stehlin, DNP, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 310-880-2609 |