Michael Centra, | |
1760 Old Meadow Road, Suite 205, Mclean, VA 22102-4330 | |
(703) 810-5214 | |
Not Available |
Full Name | Michael Centra |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 5 Years |
Location | 1760 Old Meadow Road, Mclean, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093334732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 010001734 (District Of Columbia) | Secondary |
225X00000X | Occupational Therapist | 0119008514 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc | 3779495858 | 1628 |
Provider Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Provider Name | Orthovirginia Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588066740 PECOS PAC ID: 0547157224 Enrollment ID: O20150102000273 |
Mailing Address | Practice Location Address |
---|---|
Michael Centra, 1115 Boulders Parkway, Suite 200, N Chesterfield, VA 23225-4067 Ph: (804) 560-5595 | Michael Centra, 1760 Old Meadow Road, Suite 205, Mclean, VA 22102-4330 Ph: (703) 810-5214 |
Megan Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8315 Turning Leaf Ln, Mclean, VA 22102 Phone: 703-734-1600 | |
Veronica Martinez, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1735 Kirby Rd., Mclean, VA 22101 Phone: 571-228-2929 |