| Dr Jack Pete Ayoub, MD | |
|
19490 Sandridge Way, 350, Leesburg, VA 20176 | |
| (703) 858-5599 | |
| (703) 858-5699 |
| Full Name | Dr Jack Pete Ayoub |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 22 Years |
| Location | 19490 Sandridge Way, Leesburg, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790836690 | NPI | - | NPPES |
| 1942440953 | Other | VA | BUSINESS NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101244378 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Obhg Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
| 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: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Pete Ayoub, MD 19490 Sandridge Way, 350, Leesburg, VA 20176 Ph: (703) 858-5599 | Dr Jack Pete Ayoub, MD 19490 Sandridge Way, 350, Leesburg, VA 20176 Ph: (703) 858-5599 |
Steven Smith, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44055 Riverside Pkwy, Suite 234, Leesburg, VA 20176 Phone: 703-858-8100 | |
Michele Dianne Justice Taylor-tyree, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19450 Deerfield Ave Ste 460, Leesburg, VA 20176 Phone: 571-707-8522 Fax: 571-707-8577 | |
Younghae Lisa Hyun-park, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19455 Deerfield Avenue, Suite 204, Leesburg, VA 20176 Phone: 703-858-1500 Fax: 703-858-5022 | |
Arshed Ahmed Choudhry, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 19455 Deerfield Ave Ste 204, Leesburg, VA 20176 Phone: 703-858-1500 Fax: 703-858-5022 | |
Roopa Malpani Duggal, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19450 Deerfield Ave Ste 460, Leesburg, VA 20176 Phone: 571-707-8522 Fax: 571-707-8577 | |
Dr. Jane Allen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 161 Fort Evans Rd Ne, Suite 320, Leesburg, VA 20176 Phone: 703-777-5111 Fax: 703-777-8465 | |
Dr. Gillian Althea Jacob, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 161 Fort Evans Rd Ne, Suite 320, Leesburg, VA 20176 Phone: 703-777-5111 Fax: 703-777-8465 |