| Denise Desiree Wallis, MD | |
|
7918 Jones Branch Dr, 4th Flr-#274, Mclean, VA 22102 | |
| (571) 582-5870 | |
| (949) 666-2287 |
| Full Name | Denise Desiree Wallis |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 7918 Jones Branch Dr, Mclean, 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 | 105 |
| Capital Healthcare Pc | 3779723309 | 105 |
| 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 7918 Jones Branch Dr, 4th Flr-#274, Mclean, VA 22102 Ph: (571) 582-5870 | Denise Desiree Wallis, MD 7918 Jones Branch Dr, 4th Flr-#274, Mclean, VA 22102 Ph: (571) 582-5870 |
Dr. Allen B Horne, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 6715 Whittier Avenue, 100, Mclean, VA 22101 Phone: 703-356-5529 Fax: 703-448-8211 | |
Mohammad Reza Didehvar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6262 Old Dominion Drive, Mclean, VA 22101 Phone: 703-893-2505 Fax: 703-893-2506 | |
Nasrin Ejtemaee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8375 Greensboro Dr # A, Mclean, VA 22102 Phone: 703-893-8345 Fax: 703-356-2730 | |
Dr. Jerry Anthony Omelon, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1340 Old Chain Bridge Rd, Suite 101, Mclean, VA 22101 Phone: 703-893-2273 Fax: 703-893-4559 | |
Dr. Behyar David Badiee, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1340 Old Chain Bridge Rd, Mclean, VA 22101 Phone: 703-893-2273 Fax: 703-893-4559 | |
Dr. Oraphan Chomthongdi Chusuei, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 8373a Greensboro Dr, Mclean, VA 22102 Phone: 703-821-6621 Fax: 703-356-0991 |