| Dr Philip R Peacock, DO | |
|
8100 Ashton Ave, Suite 101, Manassas, VA 20109 | |
| (703) 257-8090 | |
| (703) 257-7822 |
| Full Name | Dr Philip R Peacock |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 8100 Ashton Ave, Manassas, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467446740 | NPI | - | NPPES |
| 05859361 | Medicaid | VA | |
| 080175699 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102036935 (Virginia) | Primary |
| 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 Philip R Peacock, DO 950n Glebe Rd 4000, Arlington, VA 22203-1824 Ph: (571) 295-7514 | Dr Philip R Peacock, DO 8100 Ashton Ave, Suite 101, Manassas, VA 20109 Ph: (703) 257-8090 |
Hannah Rak, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8051 Sudley Rd, Manassas, VA 20109 Phone: 571-719-4180 | |
Robert A W Latimer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd, Suite 203, Manassas, VA 20110 Phone: 703-368-3161 Fax: 703-368-2498 | |
Dr. Suman Deep Matiana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 | |
Dr. Denise Thi Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8640 Sudley Rd Ste 203, Manassas, VA 20110 Phone: 703-368-3161 Fax: 703-656-9867 | |
Ahmad S Baray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9715 Liberia Ave, Manassas, VA 20110 Phone: 571-229-1797 | |
Payam Mir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6356 Hoadly Rd, Manassas, VA 20112 Phone: 703-673-1558 | |
Parimal C Desai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9001 Digges Rd, Suite 104, Manassas, VA 20110 Phone: 703-369-5000 Fax: 703-369-5003 |