Constantine N Chienku, MD | |
14087 Richmond Hwy Unit 101, Woodbridge, VA 22191 | |
(571) 300-8000 | |
Not Available |
Full Name | Constantine N Chienku |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 14087 Richmond Hwy Unit 101, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831139336 | NPI | - | NPPES |
437472 | Other | VA | SOUTHERN HEALTH |
541182305 | Other | VA | UNITED HEALTHCARE |
199786 | Other | VA | ANTHEM |
010266823 | Medicaid | VA | |
305773 | Medicaid | VA | |
8146917 | Other | VA | MAMSI |
2146917 | Other | VA | MAMSI |
3052918 | Other | VA | CIGNA |
541182305 | Other | VA | TRICARE |
752699 | Other | VA | NCPPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 010266823 (Virginia) | Secondary |
207Q00000X | Family Medicine | 0101230316 (Virginia) | Primary |
Entity Name | Roanoke Valley Healthcare Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619274446 PECOS PAC ID: 0143490326 Enrollment ID: O20110825000335 |
Entity Name | Short Pump Family Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487068334 PECOS PAC ID: 7618278516 Enrollment ID: O20151218000775 |
Entity Name | American Greatest Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790478782 PECOS PAC ID: 0648717512 Enrollment ID: O20240809000294 |
Mailing Address | Practice Location Address |
---|---|
Constantine N Chienku, MD 4701 Yowell Lane, Marshall, VA 20115 Ph: (540) 364-4398 | Constantine N Chienku, MD 14087 Richmond Hwy Unit 101, Woodbridge, VA 22191 Ph: (571) 300-8000 |
Zahir Zoe Jimenez-tosado, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4379 Ridgewood Center Drive, #102, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953 | |
Mrs. Peggy J Budnik, CFNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3401 Commission Ct, Ste 201, Woodbridge, VA 22192 Phone: 703-490-6265 Fax: 703-490-6713 | |
Dr. Peter A Mendel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 Commission Ct, Suite 201, Woodbridge, VA 22192 Phone: 703-490-6265 Fax: 703-490-6713 | |
Jerrold G Black, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4167 Merchant Plz, Woodbridge, VA 22192 Phone: 703-878-8800 Fax: 703-878-2133 | |
James C Kent, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Optiz Blvd, #235, Woodbridge, VA 22191 Phone: 703-491-4212 Fax: 703-491-0418 | |
Dr. Raenell Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Pond Way, Ste 170, Woodbridge, VA 22192 Phone: 571-542-4950 Fax: 571-285-1160 | |
Dr. Donald Lee Sargent, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2241-m Tacketts Mill Drive, Woodbridge, VA 22192 Phone: 703-494-7530 Fax: 703-497-1682 |