Dr Fredric Bruce Garner, MD | |
8988 Fern Park Dr, Burke, VA 22015-1635 | |
(703) 978-6061 | |
(703) 978-0291 |
Full Name | Dr Fredric Bruce Garner |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 8988 Fern Park Dr, Burke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730116658 | NPI | - | NPPES |
006727352 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101017927 (Virginia) | Primary |
Entity Name | Burke Pediatrics, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043585029 PECOS PAC ID: 4981012317 Enrollment ID: O20210422002650 |
Mailing Address | Practice Location Address |
---|---|
Dr Fredric Bruce Garner, MD 8988 Fern Park Dr, Burke, VA 22015-1635 Ph: (703) 978-6061 | Dr Fredric Bruce Garner, MD 8988 Fern Park Dr, Burke, VA 22015-1635 Ph: (703) 978-6061 |
Dr. William C Rees, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8988 Fern Park Dr, Burke, VA 22015 Phone: 703-978-6061 Fax: 703-978-0291 | |
Ms. Poornima Chandra, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8988 Fern Park Dr, Burke, VA 22015 Phone: 703-978-6061 Fax: 703-978-0291 | |
Dr. Stacey Hollands Staats, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5212 Lyngate Ct, Burke, VA 22015 Phone: 703-503-9100 Fax: 703-503-9109 | |
Dr. Laurence J Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5212 Lyngate Ct, Burke, VA 22015 Phone: 703-503-9100 Fax: 703-503-9109 |