| Dr Habtemariam Mekonen Ansera, MD | |
|
3701 S George Mason Dr, Suite C-1-n, Falls Church, VA 22041-3758 | |
| (571) 431-6426 | |
| (571) 431-6428 |
| Full Name | Dr Habtemariam Mekonen Ansera |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 3701 S George Mason Dr, Falls Church, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417117201 | NPI | - | NPPES |
| 019352600 | Medicaid | MD | |
| 1417117201 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | D0067614 (Maryland) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101246339 (Virginia) | Primary |
| Entity Name | Professional Services Of Holy Cross |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Habtemariam Mekonen Ansera, MD 3701 S George Mason Dr Unit C1n, Falls Church, VA 22041-4722 Ph: (571) 431-6426 | Dr Habtemariam Mekonen Ansera, MD 3701 S George Mason Dr, Suite C-1-n, Falls Church, VA 22041-3758 Ph: (571) 431-6426 |
Dr. Oleg Dolghi, M.D Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113 | |
Guoyang Luo, M.D., PH.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-6654 | |
Dr. Molly Frances George, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113 | |
Dr. Jerald G Singer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113 | |
Omotomilade Olopoenia, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-2745 | |
Rolel Mbaidjol-kabra, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6400 Arlington Blvd., Suite 210, Falls Church, VA 22042 Phone: 703-531-3000 Fax: 703-531-3142 | |
Dr. Monica Longo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-4001 Fax: 703-776-7113 |