Soo Min Summer Dewenter, | |
3300 Gallows Rd, Falls Church, VA 22042-3307 | |
(703) 776-4001 | |
Not Available |
Full Name | Soo Min Summer Dewenter |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 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 |
---|---|---|---|
1437740982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001274958 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024180857 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fairfax Hospital | Falls church, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Virginia, Llc | 6608268826 | 361 |
Entity Name | American Anesthesiology Of Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429 |
Entity Name | Northstar Anesthesia Of Virginia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
Mailing Address | Practice Location Address |
---|---|
Soo Min Summer Dewenter, 2807 S Woodrow St Apt B, Arlington, VA 22206-3321 Ph: (571) 275-0704 | Soo Min Summer Dewenter, 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 |
Ms. Lorraine Kerwin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Fairfax Inova Hospital, Falls Church, VA 22042 Phone: 703-776-3138 | |
Denise Hirsch Tola, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 | |
Brandy Louise Flanagan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Jason Cage, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 | |
Dr. Kirsten Kadlec-calhoun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 | |
Tracey L Cover, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 Fax: 540-982-2719 | |
Lijuan Huang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-3138 |