| John Joseph Basile, MD | |
|
3020 Hamaker Ct, Suite B-111, Fairfax, VA 22031-2220 | |
| (703) 876-0288 | |
| (703) 876-0290 |
| Full Name | John Joseph Basile |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 3020 Hamaker Ct, 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 |
|---|---|---|---|
| 1548235732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101043115 (Virginia) | Primary |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
| Entity Name | John J Basile Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023176237 PECOS PAC ID: 8022086560 Enrollment ID: O20040922000368 |
| Mailing Address | Practice Location Address |
|---|---|
| John Joseph Basile, MD 3020 Hamaker Court, Suite B-111, Fairfax, VA 22031-2220 Ph: (703) 876-0288 | John Joseph Basile, MD 3020 Hamaker Ct, Suite B-111, Fairfax, VA 22031-2220 Ph: (703) 876-0288 |
Dr. Domingo E Suatengco, M.D Urology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr, Suite 206, Fairfax, VA 22033 Phone: 703-476-0901 Fax: 702-264-9762 | |
Dr. Jonathan Michael Mobley, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3700 Joseph Siewick Dr Ste 101, Fairfax, VA 22033 Phone: 703-698-1856 Fax: 703-207-0843 | |
Dr. Rachel Edlin Selekman, MD Urology Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct Ste 500, Fairfax, VA 22031 Phone: 571-766-3096 | |
Kenneth Lim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3700 Joseph Siewick Dr Ste 300, Fairfax, VA 22033 Phone: 703-680-2111 | |
James Ritchie Jezior, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy Bldg 4th, Fairfax, VA 22033 Phone: 703-934-4120 | |
William Lloyd Glover Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 10875 Main St, Suite 208, Fairfax, VA 22030 Phone: 703-591-5443 Fax: 703-591-0486 | |
Sunil V Patel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3020 Hamaker Court, Suite B-111, Fairfax, VA 22031 Phone: 703-876-0288 Fax: 703-876-0290 |