Alexandria Primary Care Associates | |
1500 N Beauregard St Ste 110 Alexandria VA 22311-1715 | |
(703) 370-9002 | |
(703) 370-2849 |
Full Name | Alexandria Primary Care Associates |
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Speciality | Internal Medicine |
Location | 1500 N Beauregard St Ste 110, Alexandria, Virginia |
Authorized Official Name and Position | Stephen M Minton (PRESIDENT) |
Authorized Official Contact | 7033709002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alexandria Primary Care Associates 1500 N Beauregard St Ste 110 Alexandria VA 22311-1715 Ph: (703) 370-9002 | Alexandria Primary Care Associates 1500 N Beauregard St Ste 110 Alexandria VA 22311-1715 Ph: (703) 370-9002 |
NPI Number | 1003986324 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 09/20/2022 |
Medicare PECOS PAC ID | 4082603972 |
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Medicare Enrollment ID | O20040506001471 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003986324 | NPI | - | NPPES |
CH7110 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101046314 (Virginia) | Primary |
Provider Name | Maria Concepcion D Asesor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386607372 PECOS PAC ID: 8426047317 Enrollment ID: I20040506001498 |
Provider Name | Dodd A. Sims |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124006788 PECOS PAC ID: 7214968676 Enrollment ID: I20050825000241 |
Provider Name | Augusto C Corella |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730171455 PECOS PAC ID: 2961407010 Enrollment ID: I20060922000296 |
Provider Name | Stephen Minton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447214150 PECOS PAC ID: 0042263071 Enrollment ID: I20110315000121 |
Provider Name | Carmella D Haines |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346974417 PECOS PAC ID: 4486026903 Enrollment ID: I20230209002947 |
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