| Dr Jonathan Perry Kruger, MD | |
|
6501 Loisdale Ct, Springfield, VA 22150-1826 | |
| (703) 922-1185 | |
| (202) 346-3680 |
| Full Name | Dr Jonathan Perry Kruger |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 6501 Loisdale Ct, Springfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538220041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0101045593 (Virginia) | Secondary |
| 207W00000X | Ophthalmology | D53015 (Maryland) | Secondary |
| 207W00000X | Ophthalmology | MD18670 (District Of Columbia) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1578638425 PECOS PAC ID: 3779495858 Enrollment ID: O20040805001280 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1073678637 PECOS PAC ID: 3779495858 Enrollment ID: O20100729000796 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1366781700 PECOS PAC ID: 3779495858 Enrollment ID: O20130507000207 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497023188 PECOS PAC ID: 3779495858 Enrollment ID: O20131029000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Perry Kruger, MD 2101 E Jefferson St, Kp Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424 | Dr Jonathan Perry Kruger, MD 6501 Loisdale Ct, Springfield, VA 22150-1826 Ph: (703) 922-1185 |
Jessica Eva Van Looveren, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8136 Old Keene Mill Rd Ste 300b300, Springfield, VA 22152 Phone: 703-451-6111 Fax: 703-451-6247 | |
Dr. Jennifer Bagdady Dao, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8136 Old Keene Mill Rd Ste B300, Springfield, VA 22152 Phone: 703-451-6111 Fax: 703-451-6247 | |
Douglas A. Cappiello, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Ct, 12th Floor, Nova Administration, Springfield, VA 22150 Phone: 703-922-1022 | |
Dr. Tasha Yap Tanhehco, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Center, Springfield, VA 22150 Phone: 703-922-1000 | |
Dr. Rosan Y Choi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6501 Loisdale Court, Springfield, VA 22150 Phone: 703-922-1407 Fax: 703-922-1111 | |
Edward S. Parelhoff, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 8136 Old Keene Mill Rd Ste B300, Springfield, VA 22152 Phone: 703-451-6111 Fax: 703-451-6247 | |
Douglas James Fraser Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5411a Backlick Rd, Springfield, VA 22151 Phone: 703-256-2474 Fax: 703-941-7938 |