| Dr Lisa Ann Irvine, MD PHD FAAP | |
|
11930 Democracy Dr, Reston, VA 20190-5624 | |
| (202) 660-0050 | |
| Not Available |
| Full Name | Dr Lisa Ann Irvine |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 11930 Democracy Dr, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609975952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101233858 (Virginia) | Primary |
| Entity Name | One Medstar Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417571530 PECOS PAC ID: 0749607307 Enrollment ID: O20200827000644 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Ann Irvine, MD PHD FAAP 19152 Coton Reserve Dr, Leesburg, VA 20176-1662 Ph: (540) 338-3320 | Dr Lisa Ann Irvine, MD PHD FAAP 11930 Democracy Dr, Reston, VA 20190-5624 Ph: (202) 660-0050 |
Emily A Lozano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy, Reston Hospital Center, Reston, VA 20190 Phone: 703-689-9037 Fax: 703-689-9109 | |
Niloofar Arbabi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1760 Reston Pkwy, Suite 400, Reston, VA 20190 Phone: 703-467-9444 Fax: 703-467-8484 | |
Ruth Avigan Mann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Sunrise Valley Dr, Suite #150, Reston, VA 20191 Phone: 703-262-0100 Fax: 703-262-0333 | |
Dr. Damien M Parker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1625 | |
Dr. Gail Carome, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Sunrise Valley Dr, Suite 150, Reston, VA 20191 Phone: 703-262-0100 Fax: 703-262-0333 | |
Geetanjali Jain, MSN, DNP, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191 Phone: 703-834-1473 Fax: 703-318-7463 | |
Dr. Alana Kathryn Lewis, MB, BCH, BAO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1830 Town Center Dr, Unit 205, Reston, VA 20190 Phone: 703-435-3636 Fax: 703-435-9145 |