| Shelby Kloosterboer, | |
|
46440 Benedict Drive, Suite 107, Sterling, VA 20164-6602 | |
| (703) 450-1125 | |
| (703) 450-1145 |
| Full Name | Shelby Kloosterboer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 46440 Benedict Drive, Suite 107, Sterling, 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 |
|---|---|---|---|
| 1679105530 | NPI | - | NPPES |
| 30016389950001 | Medicaid | VA | |
| 1679105530 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 0110007652 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loudoun Medical Group, Pc | 0042119661 | 288 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Kloosterboer, 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Shelby Kloosterboer, 46440 Benedict Drive, Suite 107, Sterling, VA 20164-6602 Ph: (703) 450-1125 |
Michelle Lynn Hadinger, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47100 Community Plz, Sterling, VA 20164 Phone: 703-880-1403 Fax: 703-880-1404 | |
Erin Whitney Crawford, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 46165 Westlake Dr, Suite 120, Sterling, VA 20165 Phone: 703-444-3302 Fax: 703-444-3240 | |
Sepideh Sarreshteh, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 47100 Community Plz, Sterling, VA 20164 Phone: 703-880-1403 | |
Alexis L. Williams, MSPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166 Phone: 703-444-5000 Fax: 703-444-4999 | |
Ivey G Peterson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21475 Ridgetop Cir, Suite 150, Sterling, VA 20166 Phone: 703-444-5000 Fax: 703-444-4999 | |
Miranda Anne Mery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 197 Heather Glen Rd, Sterling, VA 20165 Phone: 703-774-2794 | |
Javier Esteban Mery, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 197 Heather Glen Rd, Sterling, VA 20165 Phone: 703-297-7721 |