Mukta Gautam-dhakal, | |
12359 Sunrise Valley Dr Ste 320, Reston, VA 20191-3463 | |
(703) 596-4796 | |
Not Available |
Full Name | Mukta Gautam-dhakal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 12359 Sunrise Valley Dr Ste 320, Reston, 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 |
---|---|---|---|
1275034837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 26NJ00806800 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024177376 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
My Psychiatrist, Llc | 5597898981 | 9 |
Entity Name | My Psychiatrist, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295048684 PECOS PAC ID: 5597898981 Enrollment ID: O20100805000650 |
Mailing Address | Practice Location Address |
---|---|
Mukta Gautam-dhakal, 364 Williamson St Apt C5, Elizabeth, NJ 07202-3663 Ph: (201) 315-5855 | Mukta Gautam-dhakal, 12359 Sunrise Valley Dr Ste 320, Reston, VA 20191-3463 Ph: (703) 596-4796 |
Margaret Smith Lynch, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1488 Northpoint Village Ctr, Reston, VA 20194 Phone: 571-786-1024 Fax: 571-786-1025 | |
Louise C Ritz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12524 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-689-2180 Fax: 703-481-3853 | |
Mrs. Inga Marler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12103 Stirrup Rd, Reston, VA 20191 Phone: 612-225-1538 | |
Ms. Maureen E West, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11445 Sunset Hill Road, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1711 | |
Mary Joseph Frickel, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Drive, Suite 220, Reston, VA 20190 Phone: 703-435-2555 Fax: 571-926-8910 | |
Ms. Dana Jones-sheppard, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12040 S Lakes Dr Ste 204, Reston, VA 20191 Phone: 703-230-0347 Fax: 703-230-0350 | |
Mrs. Martha F Zier, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11445 Sunset Hills Road, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1711 |