| Gainesville Family Practice, P.c. | |
|
7915 Lake Manassas Dr Ste 102 Gainesville VA 20155-3259 | |
| (703) 754-4101 | |
| (703) 754-1105 |
| Full Name | Gainesville Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7915 Lake Manassas Dr Ste 102, Gainesville, Virginia |
| Authorized Official Name and Position | Allison Tobias (PRACTICE MANAGER) |
| Authorized Official Contact | 7037544101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gainesville Family Practice, P.c. 7915 Lake Manassas Dr Ste 102 Gainesville VA 20155-3259 Ph: (703) 754-4101 | Gainesville Family Practice, P.c. 7915 Lake Manassas Dr Ste 102 Gainesville VA 20155-3259 Ph: (703) 754-4101 |
| NPI Number | 1871589770 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 1254369960 |
|---|---|
| Medicare Enrollment ID | O20050802001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871589770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason V Hackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255327128 PECOS PAC ID: 2264460070 Enrollment ID: I20050802001254 |
| Provider Name | Katherine T Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962520411 PECOS PAC ID: 5294891669 Enrollment ID: I20090310000306 |
| Provider Name | Susan L Turkington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801882790 PECOS PAC ID: 1951442607 Enrollment ID: I20100104000392 |
| Provider Name | Douglas H Sigmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780670679 PECOS PAC ID: 1759447121 Enrollment ID: I20100114000699 |
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