| Dr Jessica Lee, MD | |
| 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 | |
| (571) 308-1830 | |
| (571) 308-1843 | 
| Full Name | Dr Jessica Lee | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology - Gynecologic Oncology | 
| Location | 8081 Innovation Park Dr Ste 775, 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 | 
|---|---|---|---|
| 1194024562 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | R8229 (Texas) | Secondary | 
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | 0101275660 (Virginia) | Primary | 
| Entity Name | University Of Texas Southwestern Medical Center At Dallas | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jessica Lee, MD 5801 Postal Rd Unit 81310, Cleveland, OH 44181-2112 Ph: (301) 340-8339 | Dr Jessica Lee, MD 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 Ph: (571) 308-1830 | 
| Ivette Anne Couret, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3025 Hamaker Ct Ste 200, Fairfax, VA 22031 Phone: 703-698-8060 Fax: 703-876-4691 | |
| Shawana Mufti, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3930 Pender Dr, Suite 60, Fairfax, VA 22030 Phone: 703-539-8987 Fax: 703-865-4167 | |
| Dr. Walter J Hodges Jr., MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3620 Joseph Siewick Dr, 400, Fairfax, VA 22033 Phone: 703-264-7801 Fax: 703-264-7807 | |
| Eleanor H Yoon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd Ste 300, Fairfax, VA 22031 Phone: 703-560-1611 Fax: 703-573-0210 | |
| Dr. Khoi T Vu, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5720 Fax: 703-934-5778 | |
| Dr. Costanza Dieceka Rutland, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Drive, Suite 270, Fairfax, VA 22030 Phone: 703-218-5357 Fax: 703-218-5358 | |
| Dana Michelle Block-abraham, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031 Phone: 703-698-5350 Fax: 703-204-1074 |