| Tessa Cholmondeley Md Pc | |
|
1830 Town Center Dr Ste 207 Reston VA 20190-3236 | |
| (703) 435-2227 | |
| (703) 435-7856 |
| Full Name | Tessa Cholmondeley Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1830 Town Center Dr Ste 207, Reston, Virginia |
| Authorized Official Name and Position | Elaine Frater (BILLING MANAGER) |
| Authorized Official Contact | 7034352227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tessa Cholmondeley Md Pc 1830 Town Center Dr Ste 207 Reston VA 20190-3236 Ph: (703) 435-2227 | Tessa Cholmondeley Md Pc 1830 Town Center Dr Ste 207 Reston VA 20190-3236 Ph: (703) 435-2227 |
| NPI Number | 1225564198 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 08/13/2023 |
| Medicare PECOS PAC ID | 1759647761 |
|---|---|
| Medicare Enrollment ID | O20171108000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225564198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101046941 (Virginia) | Primary |
| Provider Name | Tessa M Cholmondeley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124132873 PECOS PAC ID: 9133287543 Enrollment ID: I20101102001286 |
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