Optimum Health Llc | |
6354 Walker Ln Ste 350 Alexandria VA 22310-3256 | |
(256) 425-4050 | |
Not Available |
Full Name | Optimum Health Llc |
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Speciality | Family Medicine |
Location | 6354 Walker Ln Ste 350, Alexandria, Virginia |
Authorized Official Name and Position | Allison Paige Gabbert (CEO) |
Authorized Official Contact | 2564254050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimum Health Llc 6354 Walker Ln Ste 350 Alexandria VA 22310-3256 Ph: (256) 425-4050 | Optimum Health Llc 6354 Walker Ln Ste 350 Alexandria VA 22310-3256 Ph: (256) 425-4050 |
NPI Number | 1417723545 |
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Provider Enumeration Date | 11/29/2023 |
Last Update Date | 04/18/2024 |
Medicare PECOS PAC ID | 8921540683 |
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Medicare Enrollment ID | O20241001004296 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417723545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Secondary |
Provider Name | Aaron Gerstenmaier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851602767 PECOS PAC ID: 7315172079 Enrollment ID: I20131105001040 |
Provider Name | Allison Paige Gabbert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932869724 PECOS PAC ID: 1658767710 Enrollment ID: I20220330000700 |
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