Brian Derner, | |
6455 Lake Meadow Dr, Burke, VA 22015-3935 | |
(703) 930-5105 | |
(703) 930-5105 |
Full Name | Brian Derner |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 7 Years |
Location | 6455 Lake Meadow Dr, Burke, 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 |
---|---|---|---|
1265941876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1000 (Arizona) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5878 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - San Leandro | San leandro, CA | Hospital |
Kaiser Foundation Hospital - Fremont | Fremont, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Brian Derner, 6455 Lake Meadow Dr, Burke, VA 22015-3935 Ph: (703) 930-5105 | Brian Derner, 6455 Lake Meadow Dr, Burke, VA 22015-3935 Ph: (703) 930-5105 |
Dr. Joel I Miller, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7303 Mizzen Pl, Burke, VA 22015 Phone: 703-203-0744 | |
Dr. Gary J Arminio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5631 Burke Centre Parkway, Suite K, Burke, VA 22015 Phone: 703-250-2904 Fax: 703-280-2939 | |
The Burke Foot And Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5631 Burke Centre Pkwy, Ste K, Burke, VA 22015 Phone: 703-250-2904 Fax: 703-250-2939 |