| Dr Barnett G Mennen, MD | |
|
1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 | |
| (703) 790-0103 | |
| (790) 703-0379 |
| Full Name | Dr Barnett G Mennen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1880 Howard Ave, Vienna, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184848004 | NPI | - | NPPES |
| D0072173 | Other | MD | STATE LICENSE |
| 0101248289 | Other | VA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0072173 (Maryland) | Primary |
| 208000000X | Pediatrics | D0072173 (Maryland) | Secondary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| 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 |
|---|---|
| Dr Barnett G Mennen, MD 1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 Ph: (703) 790-0103 | Dr Barnett G Mennen, MD 1880 Howard Ave, Suite 300, Vienna, VA 22182-2667 Ph: (703) 790-0103 |
Dr. Eric M Thomson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Park Street Se, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 | |
James Pierce Jenkins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Park St Se, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 | |
Afshin Javan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8357 Leesburg Pike, Vienna, VA 22182 Phone: 571-899-3237 Fax: 571-899-3238 | |
Barbara B Andrino, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Maple Ave E, Vienna, VA 22180 Phone: 703-938-5300 Fax: 703-242-0726 | |
Kimaya M Vaidya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2671 Avenir Pl Ste B, Vienna, VA 22180 Phone: 703-207-8600 | |
Mai Hoang Nguyen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Maple Ave W Ste 3, Vienna, VA 22180 Phone: 703-281-3626 Fax: 703-281-3615 |