Andrew Keith Mazur, DPT | |
24430 Stone Springs Blvd Ste 400, Dulles, VA 20166-2268 | |
(703) 776-5040 | |
(703) 776-5047 |
Full Name | Andrew Keith Mazur |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 14 Years |
Location | 24430 Stone Springs Blvd Ste 400, Dulles, 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 |
---|---|---|---|
1902899719 | NPI | - | NPPES |
1902899719 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2502 (New Mexico) | Secondary |
225100000X | Physical Therapist | 2305205338 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Physician Partners Llc | 2466581772 | 313 |
Provider Name | Inova Physician Partners Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20110519000499 |
Provider Name | Privia Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Andrew Keith Mazur, DPT Po Box 37189, Baltimore, MD 21297-3189 Ph: (571) 423-5699 | Andrew Keith Mazur, DPT 24430 Stone Springs Blvd Ste 400, Dulles, VA 20166-2268 Ph: (703) 776-5040 |
Mrs. Jennifer Williams Culak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2170 Gaborone Pl Apt 14, Dulles, VA 20189 Phone: 361-548-9447 | |
Julie A Bobbitt, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5770 The Hague Pl, Dulles, VA 20189 Phone: 727-230-9655 |