| Ms Stephanie L Modzelesky, PA-C | |
|
224-d Cornwall Street Nw, Suite 204, Leesburg, VA 20176-2700 | |
| (571) 209-1875 | |
| (703) 777-3365 |
| Full Name | Ms Stephanie L Modzelesky |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 224-d Cornwall Street Nw, Suite 204, Leesburg, 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 |
|---|---|---|---|
| 1417919408 | NPI | - | NPPES |
| 30015904250001 | Medicaid | VA | |
| 0110002171 | Other | VA | LICENSE |
| 1417919408 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 0110002171 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110002171 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loudoun Medical Group, Pc | 0042119661 | 288 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie L Modzelesky, PA-C 224-d Cornwall St., Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Ms Stephanie L Modzelesky, PA-C 224-d Cornwall Street Nw, Suite 204, Leesburg, VA 20176-2700 Ph: (571) 209-1875 |
Lauren Elizabeth Schaaf, Physician Assistant Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176 Phone: 703-729-9220 Fax: 703-858-3529 | |
Monica Gupta Unni, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Loudoun Hospital Center, Leesburg, VA 20176 Phone: 703-858-6044 Fax: 703-858-6775 | |
Kristin Marie Kaiser, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19465 Deerfield Ave Ste 408, Leesburg, VA 20176 Phone: 703-723-6568 | |
Caroline Wade Smith, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6044 | |
Mrs. Bess Davina Lawrie O'keeffe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 19441 Golf Vista Plz Ste 230, Leesburg, VA 20176 Phone: 703-729-3420 | |
Maria Iftikhar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 19415 Deerfield Ave Suite 213, Leesburg, VA 20176 Phone: 703-729-9220 Fax: 703-858-3529 | |
Alexandra Jean Bache, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176 Phone: 703-858-5421 Fax: 703-858-9573 |