| Deepani Hettitantri, MD | |
|
711c E Main St, Purcellville, VA 20132-3178 | |
| (540) 338-7116 | |
| (540) 338-6671 |
| Full Name | Deepani Hettitantri |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 711c E Main St, Purcellville, 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 |
|---|---|---|---|
| 1346415478 | NPI | - | NPPES |
| 1346415478 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101246449 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Physician Partners Llc | 2466581772 | 311 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| 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 | Fauquier Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770916983 PECOS PAC ID: 6406083104 Enrollment ID: O20131227001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Deepani Hettitantri, MD 711c E Main St, Purcellville, VA 20132-3178 Ph: (540) 338-7116 | Deepani Hettitantri, MD 711c E Main St, Purcellville, VA 20132-3178 Ph: (540) 338-7116 |
Ashley Tara Beckum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 200, Purcellville, VA 20132 Phone: 540-338-6101 | |
Thomas Jerome Hegerich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 Phone: 540-338-9896 Fax: 540-338-8235 | |
Saad Shaukat, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711c E Main St, Purcellville, VA 20132 Phone: 540-338-7116 Fax: 571-472-4101 | |
Sarah L Regan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 Phone: 540-338-9896 Fax: 540-338-8235 | |
Michael Thomas Wenzel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 E. Hirst Road, Suite 200, Purcellville, VA 20132 Phone: 540-338-6101 Fax: 540-338-7803 | |
Larry Pierce Belote, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 740 E Main St, Purcellville, VA 20132 Phone: 540-338-7180 Fax: 540-338-6671 |