| Alegis Care Services Llc-virginia | |
|
8484 Westpark Dr Ste 950 Mc Lean VA 22102-5147 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Alegis Care Services Llc-virginia |
|---|---|
| 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 |
|---|---|
| Alegis Care Services Llc-virginia 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Alegis Care Services Llc-virginia 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 | Jacky Mukuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538884820 PECOS PAC ID: 1153777503 Enrollment ID: I20240404002305 |
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