| Lauren Reckley, MD | |
| 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | |
| (712) 312-5445 | |
| Not Available | 
| Full Name | Lauren Reckley | 
|---|---|
| Gender | Female | 
| Speciality | Otolaryngology | 
| Location | 9300 Dewitt Loop, Fort Belvoir, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659784759 | NPI | - | NPPES | 
| VAD000 | Medicaid | HI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 18560 (Hawaii) | Secondary | 
| 207Y00000X | Otolaryngology | 18560 (Hawaii) | Primary | 
| Entity Name | Deaconess Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lauren Reckley, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-2544 | Lauren Reckley, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (712) 312-5445 | 
| Silas Chao, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3497 | |
| Jeffrey Martin Schafer, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Atammc - Dept Of Otolaryngology, Fort Belvoir, VA 22060 Phone: 571-231-2679 | |
| Charles Qiyao Yang, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3497 | |
| Dr. Scott B Roofe, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-2896 | |
| Dr. Colleen Frances Perez, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2544 | |
| Naomi Will, D.O. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2544 | |
| Dr. Charles Alexander Riley, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 |