| Larry C Mack-wilson, PA | |
|
1850 Town Center Pkwy, Reston, VA 20190-3219 | |
| (703) 689-9039 | |
| (703) 689-9109 |
| Full Name | Larry C Mack-wilson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1850 Town Center Pkwy, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235413667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0110003693 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry C Mack-wilson, PA 20010 Century Blvd, Suite 200, Germantown, MD 20874-1115 Ph: (240) 686-2300 | Larry C Mack-wilson, PA 1850 Town Center Pkwy, Reston, VA 20190-3219 Ph: (703) 689-9039 |
Priscilla Khai-linh Nguyen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1860 Town Center Dr Ste 335, Reston, VA 20190 Phone: 703-787-3322 Fax: 703-787-3380 | |
Mrs. Julieanne Bonner Sugg, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 11357 Sunset Hills Rd, Reston, VA 20190 Phone: 703-435-5858 Fax: 703-435-5877 | |
Ian Jacob Henry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Erik A Larsen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Parkway, Suite 400, Reston, VA 20190 Phone: 703-810-5202 Fax: 703-787-9664 | |
Colin Phillips, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-689-9000 | |
Thao Nguyen Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1831 Wiehle Ave, Suite 200, Reston, VA 20190 Phone: 703-709-1114 Fax: 703-709-6516 | |
Mr. Nickolas Patrick Forsberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191 Phone: 703-709-1114 |