| Dr Connie Diem Khanh Le, MD | |
|
4208 Evergreen Ln Ste 214, Annandale, VA 22003-3254 | |
| (703) 642-6633 | |
| (703) 642-6699 |
| Full Name | Dr Connie Diem Khanh Le |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 4208 Evergreen Ln Ste 214, Annandale, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891886909 | NPI | - | NPPES |
| 202907076 | Other | VA | TRICARE STANDARD |
| 7120704 | Other | VA | AETNA NON HMO |
| 408479900 | Medicaid | MD | |
| 9166111 | Other | VA | CIGNA |
| 178649 | Other | VA | ANTHEM PROVIDER ID # |
| K8390001 | Other | VA | BLUE CROSS BLUE SHIELD |
| 010189721 | Medicaid | VA | |
| 2536483 | Other | VA | UNITED HEALTH CARE |
| 9389238 | Other | VA | ALLIED BENEFITS SYSTEM |
| 036849700 | Medicaid | DC | |
| 720471 | Other | VA | NCPPO |
| G02045C01 | Other | VA | MEDICARE PTAN |
| 9389238 | Other | VA | PHCS PROVIDER ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101237697 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Home Health Llc | Fairfax, VA | Home health agency |
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connie D. Le, M.d, P.c | 1052349453 | 4 |
| Entity Name | Connie D. Le, M.d, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174712301 PECOS PAC ID: 1052349453 Enrollment ID: O20050727000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Connie Diem Khanh Le, MD 4208 Evergreen Ln Ste 214, Annandale, VA 22003-3254 Ph: (703) 642-6633 | Dr Connie Diem Khanh Le, MD 4208 Evergreen Ln Ste 214, Annandale, VA 22003-3254 Ph: (703) 642-6633 |
Thomas Ambrose Mccabe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Northern Virginia Pulmonary & Critical Care Assoc. Pc, 3289 Woodburn Road, 350, Annandale, VA 22003 Phone: 703-641-8616 Fax: 703-641-9468 | |
Dr. Allan J. Morrison, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3289 Woodburn Rd, Suite # 200, Annandale, VA 22003 Phone: 703-560-7900 Fax: 703-560-8408 | |
Dr. John K. Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 Little River Tpke Ste 102, Annandale, VA 22003 Phone: 703-752-4623 Fax: 703-762-9978 | |
Aabha Jain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3289 Woodburn Rd, Suite 200, Annandale, VA 22003 Phone: 703-560-7900 | |
Manisha Reddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7432 Little River Tpke, Annandale, VA 22003 Phone: 703-658-7060 | |
Dr. Vishal Mungal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3289 Woodburn Rd, Annandale, VA 22003 Phone: 703-641-8616 Fax: 703-641-9468 | |
Dr. Stafford S Goldstein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3301 Woodburn Rd, Suite #107, Annandale, VA 22003 Phone: 703-876-0437 Fax: 703-876-0722 |