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8484 Westpark Dr Ste 950 Mc Lean VA 22102-5147 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 8484 Westpark Dr Ste 950, Mc Lean, Virginia |
| Authorized Official Name and Position | Robyn C Collins (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3122622739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | 8484 Westpark Dr Ste 950 Mc Lean VA 22102-5147 Ph: (773) 292-4800 |
| NPI Number | 1144881301 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 3678840519 |
|---|---|
| Medicare Enrollment ID | O20191206001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144881301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Adetutu Aina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710317680 PECOS PAC ID: 8820317829 Enrollment ID: I20180220001243 |
| Provider Name | Anthony Perozich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760119937 PECOS PAC ID: 2668849134 Enrollment ID: I20221114001152 |
| Provider Name | Stacy Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396410163 PECOS PAC ID: 8426455569 Enrollment ID: I20240822002733 |
| Provider Name | Mandy Weitsz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922715093 PECOS PAC ID: 2961863246 Enrollment ID: I20241007003998 |
| Provider Name | Mary Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356085203 PECOS PAC ID: 2264889633 Enrollment ID: I20241106001918 |
| Provider Name | Anna Dinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982466348 PECOS PAC ID: 7719323153 Enrollment ID: I20241121004473 |
| Provider Name | Deborah Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043205628 PECOS PAC ID: 9436116829 Enrollment ID: I20241206001412 |
Gastro Virginia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Spring Hill Rd Ste 305, Mc Lean, VA 22102 Phone: 410-290-6677 | |
Alinkz Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1142 Bellview Rd, Mc Lean, VA 22102 Phone: 703-568-7910 | |
Well Being-being Well, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6862 Elm St, Suite 720, Mc Lean, VA 22101 Phone: 703-635-2158 Fax: 703-356-1610 | |
Ronald E. Gurney,m.d.,ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6888 Elm St Ste 2a, Mc Lean, VA 22101 Phone: 703-448-9210 | |
Nasrin Ejtemaee Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8375a Greensboro Dr, Mc Lean, VA 22102 Phone: 703-893-8345 Fax: 703-356-2730 | |
Bruce E Lessin M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1313 Dolley Madison Blvd, Suite 207, Mc Lean, VA 22101 Phone: 703-821-1677 |