Ms Elizabeth Ann Kyser, PHD | |
8550 Lee Hwy, Suite 300, Fairfax, VA 22031-1577 | |
(703) 207-2864 | |
(703) 207-2838 |
Full Name | Ms Elizabeth Ann Kyser |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 8550 Lee Hwy, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093883415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810002696 (Virginia) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ms Elizabeth Ann Kyser, PHD 2101 E Jefferson St, Ppqa Medicare Compliance Unit 6 West, Rockville, MD 20852-4908 Ph: (301) 816-6660 | Ms Elizabeth Ann Kyser, PHD 8550 Lee Hwy, Suite 300, Fairfax, VA 22031-1577 Ph: (703) 207-2864 |
Katherine Nethercote, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 571-423-4900 | |
Adrienne Konstantin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Blenheim Blvd Ste 53a, Fairfax, VA 22030 Phone: 703-972-2388 | |
Dr. Jennie Lynn Crim, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10560 Main St Ste 507, Fairfax, VA 22030 Phone: 703-691-1326 Fax: 703-691-3553 | |
Dr. Diane Marie Hoekstra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St Ste 2350, Fairfax, VA 22030 Phone: 703-591-5912 Fax: 703-581-7210 | |
Frances Jillian Priesmeyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-619-4859 | |
Kathleen Racz Baker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-899-4061 | |
Jennie Song, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 571-423-4250 |