| Dr Kaadze M Wright, MD | |
|
3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | |
| (703) 295-9360 | |
| (703) 295-9369 |
| Full Name | Dr Kaadze M Wright |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 3600 Joseph Siewick 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 |
|---|---|---|---|
| 1053417543 | NPI | - | NPPES |
| 1053417543 | Medicaid | VA | |
| 298107 | Other | VA | AMERIGROUP |
| K142-0001 | Other | VA | 2005 CARE FIRST |
| P00132283 | Other | VA | RAILROAD MEDICARE |
| 137167 | Other | VA | ANTHEM |
| 249159 | Other | VA | KAISER |
| 484645 | Other | VA | NCPPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 0101234569 (Virginia) | Primary |
| Entity Name | Inova Cares - Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230620001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kaadze M Wright, MD 68 South Service Road, Suite 350, Melville, NY 11747 Ph: (516) 945-3000 | Dr Kaadze M Wright, MD 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 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. 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 |