| Premier Acute Care Services Alexandria | |
|
3481 N Beauregard St Alexandria VA 22302-1341 | |
| (571) 290-3614 | |
| Not Available |
| Full Name | Premier Acute Care Services Alexandria |
|---|---|
| Speciality | Clinic/Center |
| Location | 3481 N Beauregard St, Alexandria, Virginia |
| Authorized Official Name and Position | Walid Hammad (OWNER MD) |
| Authorized Official Contact | 5713319288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Acute Care Services Alexandria 3481 N Beauregard St Alexandria VA 22302-1341 Ph: (571) 290-3614 | Premier Acute Care Services Alexandria 3481 N Beauregard St Alexandria VA 22302-1341 Ph: (571) 290-3614 |
| NPI Number | 1710578588 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 3971993312 |
|---|---|
| Medicare Enrollment ID | O20211129002652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710578588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Moustafa S Shamma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336149632 PECOS PAC ID: 4284680935 Enrollment ID: I20101210000035 |
| Provider Name | Walid M Hammad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710265210 PECOS PAC ID: 3375713779 Enrollment ID: I20120809000011 |
| Provider Name | Sohaib S. Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992955777 PECOS PAC ID: 0446493886 Enrollment ID: I20191219002334 |
| Provider Name | Khaled Fathy Said |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902841539 PECOS PAC ID: 9537055538 Enrollment ID: I20211129002703 |
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