| Dr Natasha C Simmons Wyllie, MD | |
|
22895 Brambleton Plaza, Suite 200, Brambleton, VA 20148 | |
| (703) 722-2312 | |
| (703) 722-2317 |
| Full Name | Dr Natasha C Simmons Wyllie |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 22895 Brambleton Plaza, Brambleton, 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 |
|---|---|---|---|
| 1427232081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8344 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 0101248112 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Physician Partners Llc | 2466581772 | 311 |
| Entity Name | Inova Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215264916 PECOS PAC ID: 2466581772 Enrollment ID: O20110519000499 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Natasha C Simmons Wyllie, MD 12011 Lee Jackson Memorial Highway, #504, Fairfax, VA 22033 Ph: (703) 391-2030 | Dr Natasha C Simmons Wyllie, MD 22895 Brambleton Plaza, Suite 200, Brambleton, VA 20148 Ph: (703) 722-2312 |
Dr. Benjamin Daniel Fox, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22895 Brambleton Plz Ste 200, Brambleton, VA 20148 Phone: 703-722-2312 Fax: 703-722-2317 | |
Lindsey Anne Purcell, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22895 Brambleton Plz Ste 200, Brambleton, VA 20148 Phone: 703-722-2312 Fax: 703-722-2317 |