Mrs Min Jin Jung Detrick, PA-C | |
8100 Boone Blvd Ste 700, Tysons, VA 22182-2683 | |
(703) 531-2269 | |
Not Available |
Full Name | Mrs Min Jin Jung Detrick |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 8100 Boone Blvd Ste 700, Tysons, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285884007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 0010-01553 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0110003714 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fairfax Hospital | Falls church, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Health Care Services | 2466351093 | 1778 |
Mailing Address | Practice Location Address |
---|---|
Mrs Min Jin Jung Detrick, PA-C 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 | Mrs Min Jin Jung Detrick, PA-C 8100 Boone Blvd Ste 700, Tysons, VA 22182-2683 Ph: (703) 531-2269 |
Mehdi Tavazoei, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1980 Gallows Rd, Tysons, VA 22182 Phone: 703-942-5331 | |
Mrs. Lauren Elizabeth Stover, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Tysons Blvd Ste 300, Tysons, VA 22102 Phone: 202-660-0050 |