| Michael Sean Scully, MD | |
|
9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | |
| (703) 231-2008 | |
| Not Available |
| Full Name | Michael Sean Scully |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| 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 |
|---|---|---|---|
| 1790951887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 0101243972 (Virginia) | Primary |
| Entity Name | Uva Community Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598475741 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Sean Scully, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (703) 231-2008 | Michael Sean Scully, MD 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (703) 231-2008 |
Melissa Roberts, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-1803 | |
Dr. Mark Nau, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-1605 | |
Lilian Akello Obwolo, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Dr. Jami Jo Peterson, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3292 | |
Dr. John David Cooper, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Dr. Peter J Weina, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 703-268-8583 | |
Dr. Andrew Chul-wook Kim, D.O. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 8725 John J Kingman Rd, Dtra, Stop 6201, Fort Belvoir, VA 22060 Phone: 703-767-4997 Fax: 703-767-4999 |