| Dr Ernest Lee Michel, MD | |
|
3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2921 | |
| (703) 295-9360 | |
| (703) 295-9369 |
| Full Name | Dr Ernest Lee Michel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3998 Fair Ridge Dr, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356353411 | NPI | - | NPPES |
| K142-0001 | Other | VA | CAREFIRST 2005 |
| 298098 | Other | VA | AMERIGROUP |
| 066579 | Other | VA | ANTHEM |
| 1356353411 | Medicaid | VA | |
| 484645 | Other | VA | NCPPO |
| 9340524 | Other | VA | PHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 232152-1 (New York) | Secondary |
| 207L00000X | Anesthesiology | 0101238028 (Virginia) | Primary |
| Entity Name | Nova Cardiovascular Care Llc Nvcc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558663401 PECOS PAC ID: 3476734674 Enrollment ID: O20110222000124 |
| Entity Name | Old Dominion Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20240227002876 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ernest Lee Michel, MD 1139 E High St Ste 203, Charlottesville, VA 22902-4855 Ph: (434) 817-8484 | Dr Ernest Lee Michel, MD 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2921 Ph: (703) 295-9360 |
Mrs. Gloria Gilbert Black, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Barry Burureser Mcconville, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028 | |
Hang Jin Yoon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10734 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028 | |
Nancy R Couleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd, Suite 550, Fairfax, VA 22031 Phone: 703-573-2363 Fax: 703-573-7609 | |
Sang Joong Jeon, MEDICAL DOCTOR Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028 | |
Dr. Kaadze M Wright, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Dr. Jai K Lee, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-295-9369 |