| Atlantic Knee Restoration & Regenerative Medicine - Reston | |
|
106 Elden St Ste 10 Herndon VA 20170-4826 | |
| (703) 854-1432 | |
| Not Available |
| Full Name | Atlantic Knee Restoration & Regenerative Medicine - Reston |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 106 Elden St Ste 10, Herndon, Virginia |
| Authorized Official Name and Position | Robert Crittenden (OWNER) |
| Authorized Official Contact | 2563022228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Knee Restoration & Regenerative Medicine - Reston 7481 Right Flank Rd Ste 100 Mechanicsville VA 23116-3838 Ph: (804) 877-0100 | Atlantic Knee Restoration & Regenerative Medicine - Reston 106 Elden St Ste 10 Herndon VA 20170-4826 Ph: (703) 854-1432 |
| NPI Number | 1376116343 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 3476958216 |
|---|---|
| Medicare Enrollment ID | O20210817003571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376116343 | NPI | - | NPPES |
| Provider Name | Darlene Lynette Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184771891 PECOS PAC ID: 0345272621 Enrollment ID: I20140905001657 |
| Provider Name | Nicole Herberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811560972 PECOS PAC ID: 4385049121 Enrollment ID: I20210902001645 |
| Provider Name | Lauren Alison Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447916036 PECOS PAC ID: 3274924949 Enrollment ID: I20220107000402 |
Medical Response Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Dulles Technology Dr Ste 500, Herndon, VA 20171 Phone: 607-821-9124 | |
Healthcar, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 Highcourt Ln Apt 103, Herndon, VA 20170 Phone: 571-239-1139 | |
Nova Health Management & Research Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171 Phone: 703-404-5905 Fax: 703-421-1099 | |
Oliver Pain Relief And Rehab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Sterling Rd Ste 106, Herndon, VA 20170 Phone: 703-904-8528 Fax: 703-904-8529 | |
Kyss Med Spa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 Elden St Ste 304, Herndon, VA 20170 Phone: 703-463-9620 | |
Longview International Technology Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12930 Worldgate Dr Ste 300, Herndon, VA 20170 Phone: 412-629-0180 | |
Dulles Family Medicine P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Elden St # 3, Herndon, VA 20170 Phone: 703-471-0800 Fax: 703-471-1332 |