| Benson W. Yu M.d. Pllc | |
|
3601 Chain Bridge Rd Ste D Fairfax VA 22030-3243 | |
| (703) 691-1136 | |
| (703) 691-8116 |
| Full Name | Benson W. Yu M.d. Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3601 Chain Bridge Rd Ste D, Fairfax, Virginia |
| Authorized Official Name and Position | Benson W Yu (PRESIDENT) |
| Authorized Official Contact | 7036911136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benson W. Yu M.d. Pllc 3601 Chain Bridge Rd Ste D Fairfax VA 22030-3243 Ph: (703) 691-1136 | Benson W. Yu M.d. Pllc 3601 Chain Bridge Rd Ste D Fairfax VA 22030-3243 Ph: (703) 691-1136 |
| NPI Number | 1073791513 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 3971682782 |
|---|---|
| Medicare Enrollment ID | O20080506000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073791513 | NPI | - | NPPES |
| 005835984 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101048810 (Virginia) | Primary |
| Provider Name | Benson W Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518951557 PECOS PAC ID: 4789763749 Enrollment ID: I20080502000284 |
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