Ms Mylene Melody Kedrock, NP | |
3300 Gallows Rd, Falls Church, VA 22042-3307 | |
(703) 776-4001 | |
(703) 776-7113 |
Full Name | Ms Mylene Melody Kedrock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 3300 Gallows Rd, Falls Church, 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 |
---|---|---|---|
1528052685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024165793 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Health Care Services | 2466351093 | 1778 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Inova Physician Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20100525000846 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1588717755 PECOS PAC ID: 2466351093 Enrollment ID: O20130509000339 |
Entity Name | Inova Ucc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221201001300 |
Mailing Address | Practice Location Address |
---|---|
Ms Mylene Melody Kedrock, NP Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699 | Ms Mylene Melody Kedrock, NP 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 |
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 |