| Denise Desiree Wallis, MD | |
|
9715 Liberia Ave, Manassas, VA 20110-5837 | |
| (571) 229-1797 | |
| (571) 229-1798 |
| Full Name | Denise Desiree Wallis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 9715 Liberia Ave, Manassas, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386733863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101241250 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Healthcare Pc | 3779723309 | 94 |
| Capital Healthcare Pc | 3779723309 | 94 |
| Entity Name | Capital Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20130702000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Desiree Wallis, MD 6020 Richmond Hwy, Ste 102, Alexandria, VA 22303-2157 Ph: (443) 393-3653 | Denise Desiree Wallis, MD 9715 Liberia Ave, Manassas, VA 20110-5837 Ph: (571) 229-1797 |
Hannah Rak, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8051 Sudley Rd, Manassas, VA 20109 Phone: 571-719-4180 | |
Robert A W Latimer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd, Suite 203, Manassas, VA 20110 Phone: 703-368-3161 Fax: 703-368-2498 | |
Dr. Suman Deep Matiana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 | |
Dr. Denise Thi Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 203, Manassas, VA 20110 Phone: 703-368-3161 Fax: 703-656-9867 | |
Ahmad S Baray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9715 Liberia Ave, Manassas, VA 20110 Phone: 571-229-1797 | |
Payam Mir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6356 Hoadly Rd, Manassas, VA 20112 Phone: 703-673-1558 | |
Parimal C Desai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9001 Digges Rd, Suite 104, Manassas, VA 20110 Phone: 703-369-5000 Fax: 703-369-5003 |