| Mosaic Md, Pllc | |
|
22365 Broderick Dr Ste 330 Sterling VA 20166-9361 | |
| (703) 952-7641 | |
| (703) 423-0007 |
| Full Name | Mosaic Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22365 Broderick Dr Ste 330, Sterling, Virginia |
| Authorized Official Name and Position | Sheri Kay Kochendoerfer (CO-OWNER) |
| Authorized Official Contact | 7039527641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Md, Pllc 22365 Broderick Dr Ste 330 Sterling VA 20166-9361 Ph: (703) 952-7641 | Mosaic Md, Pllc 22365 Broderick Dr Ste 330 Sterling VA 20166-9361 Ph: (703) 952-7641 |
| NPI Number | 1376155648 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 3274952759 |
|---|---|
| Medicare Enrollment ID | O20201001003524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376155648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sheri K Kochendoerfer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346770211 PECOS PAC ID: 3072886472 Enrollment ID: I20200501000238 |
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