Mrs Patrisha Lultschik, FNP-C | |
12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | |
(703) 352-7172 | |
Not Available |
Full Name | Mrs Patrisha Lultschik |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 12375 Lee Jackson Memorial Hwy, Fairfax, 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 |
---|---|---|---|
1649696295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024171534 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Mount Vernon Internal Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679522338 PECOS PAC ID: 4587643010 Enrollment ID: O20040717000016 |
Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20041210000322 |
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 | Virginia Internal Medicine Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740525245 PECOS PAC ID: 4082869250 Enrollment ID: O20130710000355 |
Mailing Address | Practice Location Address |
---|---|
Mrs Patrisha Lultschik, FNP-C 333 N Summit St, Toledo, OH 43604-1531 Ph: () - | Mrs Patrisha Lultschik, FNP-C 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 Ph: (703) 352-7172 |
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