Zelda Jacqueline Diamond, | |
3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 | |
(703) 208-7257 | |
Not Available |
Full Name | Zelda Jacqueline Diamond |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 3020 Hamaker Ct Ste 502, 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 |
---|---|---|---|
1891307021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024179847 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virginia Hospital Center | Arlington, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Heart Institute Llc | 5698932960 | 260 |
Entity Name | Washington Hospital Center Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407870124 PECOS PAC ID: 3577476266 Enrollment ID: O20040630000173 |
Entity Name | Medstar Heart Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528345378 PECOS PAC ID: 5698932960 Enrollment ID: O20120130000515 |
Mailing Address | Practice Location Address |
---|---|
Zelda Jacqueline Diamond, 2831 Raymond Ct, Falls Church, VA 22042-2154 Ph: (650) 868-8542 | Zelda Jacqueline Diamond, 3020 Hamaker Ct Ste 502, Fairfax, VA 22031-2220 Ph: (703) 208-7257 |
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