| Annandale Medical Associates Pc | |
|
4229 Lafayette Center Drive Suite #1790 Chantilly VA 20151-1267 | |
| (703) 378-3508 | |
| (703) 378-6414 |
| Full Name | Annandale Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4229 Lafayette Center Drive, Chantilly, Virginia |
| Authorized Official Name and Position | Ingrid Insook Chung (MD) |
| Authorized Official Contact | 7033783508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annandale Medical Associates Pc Po Box 9302 Mc Lean VA 22102-0302 Ph: (703) 378-3508 | Annandale Medical Associates Pc 4229 Lafayette Center Drive Suite #1790 Chantilly VA 20151-1267 Ph: (703) 378-3508 |
| NPI Number | 1861616310 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 02/28/2012 |
| Medicare PECOS PAC ID | 5597824359 |
|---|---|
| Medicare Enrollment ID | O20081107000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861616310 | NPI | - | NPPES |
| 3100539 | Other | VA | ALLANCE PPO/MAMSI |
| 463068 | Other | VA | BCBS-ANTHEM |
| 38080001 | Other | VA | BCBS-CAREFIRST |
| 461868 | Other | VA | AETNA |
| 136631 | Other | VA | PTAN |
| 4528765 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101049525 (Virginia) | Primary |
| Provider Name | Ingrid I Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073622742 PECOS PAC ID: 4082506589 Enrollment ID: I20040329000893 |
Commonwealth Gastroenterology, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Lafayette Center Dr, #1000, Chantilly, VA 20151 Phone: 703-262-0200 | |
Chantilly Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4437 Brookfield Corporate Dr, Chantilly, VA 20151 Phone: 703-968-7277 Fax: 703-968-5644 | |
Franklin Farm Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3914 Centreville Rd, Suite 250, Chantilly, VA 20151 Phone: 703-620-5601 Fax: 703-796-0618 | |
Dulles Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4080 Lafayette Center Dr, Suite # 110, Chantilly, VA 20151 Phone: 703-961-1680 | |
Continuum Health Aic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14303 Sullyfield Cir Ste C-1, Chantilly, VA 20151 Phone: 800-665-2850 Fax: 833-271-9979 | |
Global Med Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Bogle Dr Ste 310, Chantilly, VA 20151 Phone: 703-932-1904 | |
Washington Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4229 Lafayette Center Dr Ste 1125b-1, Chantilly, VA 20151 Phone: 703-436-9969 Fax: 703-574-5585 |