| Ben W Kittredge, MD | |
|
6355 Walker Lane, Suite 202, Alexandria, VA 22310-3257 | |
| (703) 810-5210 | |
| (703) 810-5418 |
| Full Name | Ben W Kittredge |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 6355 Walker Lane, Alexandria, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134147978 | NPI | - | NPPES |
| M77089 | Other | MD | CONTROLLED SUBSTANCE LICENSE |
| 6408028 | Medicaid | VA | |
| D51741 | Other | MD | MARYLAND MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Virginia Hospital Center | Arlington, VA | Hospital |
| Inova Mount Vernon Hospital | Alexandria, VA | Hospital |
| Goodwin House Alexandria | Alexandria, VA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthovirginia Inc | 0547157224 | 518 |
| Suburban/nrh Medical Rehabilitation Inc | 6507846771 | 603 |
| Entity Name | Orthovirginia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588066740 PECOS PAC ID: 0547157224 Enrollment ID: O20150102000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Ben W Kittredge, MD Po Box 75868, Baltimore, MD 21275-5868 Ph: (703) 383-6469 | Ben W Kittredge, MD 6355 Walker Lane, Suite 202, Alexandria, VA 22310-3257 Ph: (703) 810-5210 |
Craig Paul Shul, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2501 Parkers Ln, Alexandria, VA 22306 Phone: 703-892-6500 | |
Dr. Edward Charles Rabbitt, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6355 Walker Ln, Suite 501, Alexandria, VA 22310 Phone: 703-765-4321 Fax: 703-971-0958 | |
Dr. Ian David Gordon, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8109 Hinson Farm Rd, Suite 501, Alexandria, VA 22306 Phone: 703-780-3223 Fax: 703-780-9408 | |
Dr. Brian O Stephens, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 106 N Lee St Ste 200, Alexandria, VA 22314 Phone: 703-209-0735 | |
Thomas A Martinelli, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Lane, Suite 202, Alexandria, VA 22310 Phone: 703-810-5210 Fax: 703-810-5418 | |
Dr. Daniel E Thompson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6355 Walker Ln, Suite 202, Alexandria, VA 22310 Phone: 703-810-5210 Fax: 703-810-5418 |