| Williamsburg Square Family Practice,p.c. | |
|
9500 Richmond Hwy Lorton VA 22079-2124 | |
| (703) 339-7788 | |
| Not Available |
| Full Name | Williamsburg Square Family Practice,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 9500 Richmond Hwy, Lorton, Virginia |
| Authorized Official Name and Position | Frank Peter Ciampi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7033397788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Square Family Practice,p.c. 9500 Richmond Hwy Lorton VA 22079-2124 Ph: (703) 339-7788 | Williamsburg Square Family Practice,p.c. 9500 Richmond Hwy Lorton VA 22079-2124 Ph: (703) 339-7788 |
| NPI Number | 1518005982 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 04/04/2016 |
| Medicare PECOS PAC ID | 9931389426 |
|---|---|
| Medicare Enrollment ID | O20110216000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518005982 | NPI | - | NPPES |
| 3110603 | Other | VA | CIGNA |
| 5617928 | Medicaid | VA | |
| 5617979 | Medicaid | VA | |
| 6075013-006 | Other | VA | DR. CIAMPI - CIGNA HMO |
| 889034 | Other | VA | MDIPA AND OPT CHOICE |
| 289035 | Other | VA | ALLIANCE AND MAMSI |
| 215089 | Other | VA | ANTHEM |
| 296665 | Other | VA | ALLIANCE AND MAMSI |
| 4188961-005 | Other | VA | DR. GALLINI - CIGNA HMO |
| 289304 | Other | VA | ALLIANCE AND MAMSI |
| 41810 | Other | VA | AETNA |
| 5643147 | Medicaid | VA | |
| 8100 | Other | VA | CAREFIRST BLUECHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank Ciampi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558392761 PECOS PAC ID: 3173703667 Enrollment ID: I20110602000455 |
| Provider Name | Marc R Gallini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801824479 PECOS PAC ID: 0446431936 Enrollment ID: I20110606000232 |
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Medstar Georgetown Ortho Inst Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9455 Lorton Market St, Ste 200, Lorton, VA 22079 Phone: 703-971-3701 Fax: 703-339-6351 | |
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