| Virginia Functional Medicine Inc | |
|
19465 Deerfield Ave Ste 308b Leesburg VA 20176-1701 | |
| (703) 938-1421 | |
| (703) 938-1424 |
| Full Name | Virginia Functional Medicine Inc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 19465 Deerfield Ave Ste 308b, Leesburg, Virginia |
| Authorized Official Name and Position | Yvoune Petrie (DIRECTOR) |
| Authorized Official Contact | 7034624348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Functional Medicine Inc 410 Pine St Se Ste 320 Vienna VA 22180-4861 Ph: (703) 462-4348 | Virginia Functional Medicine Inc 19465 Deerfield Ave Ste 308b Leesburg VA 20176-1701 Ph: (703) 938-1421 |
| NPI Number | 1295495331 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 01/18/2024 |
| Medicare PECOS PAC ID | 4880030345 |
|---|---|
| Medicare Enrollment ID | O20240307000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295495331 | NPI | - | NPPES |
| Provider Name | Peter F Demitry |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1649407222 PECOS PAC ID: 6800232364 Enrollment ID: I20240307001118 |
Endocrine Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176 Phone: 703-844-8380 Fax: 703-263-8393 | |
Loudoun Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Gibson Street, Nw, Suite 215, Leesburg, VA 20176 Phone: 571-707-2079 Fax: 571-291-9196 | |
Northern Virginia Acupuncture Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S King St Ste C, Leesburg, VA 20175 Phone: 571-417-8463 | |
Dulles Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224d Cornwall St Nw, Suite 303, Leesburg, VA 20176 Phone: 703-777-8840 Fax: 703-779-0887 | |
Mediluxe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19349 Diamond Lake Dr, Leesburg, VA 20176 Phone: 571-283-1124 | |
Patient First - Leesburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 Fax: 703-840-1397 | |
Loudoun Medical Care And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19490 Sandridge Way, Suite 240, Leesburg, VA 20176 Phone: 571-223-5723 Fax: 703-724-0941 |