| Mrs Kyle Windsor Debenham, MD | |
|
180 Maple Ave W, Vienna, VA 22180-5727 | |
| (703) 938-5300 | |
| (703) 242-0726 |
| Full Name | Mrs Kyle Windsor Debenham |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 180 Maple Ave W, Vienna, 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 |
|---|---|---|---|
| 1225067325 | NPI | - | NPPES |
| 106133017 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101266146 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Ucc Llc | 7012385040 | 147 |
| Scl Health Medical Group - Billings Llc | 9638491574 | 287 |
| Inova Ucc Llc | 7012385040 | 147 |
| Inova Health Care Services | 2466351093 | 1833 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275886418 PECOS PAC ID: 2466351093 Enrollment ID: O20121219000193 |
| Entity Name | Inova Ucc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221201001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kyle Windsor Debenham, MD Po Box 791775, Baltimore, MD 21279-1775 Ph: (571) 302-5000 | Mrs Kyle Windsor Debenham, MD 180 Maple Ave W, Vienna, VA 22180-5727 Ph: (703) 938-5300 |
Dr. Bonita Banerjee, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Maple Ave W, Vienna, VA 22180 Phone: 571-363-3539 Fax: 571-363-3540 | |
Dr. Patrick William Palumbo, MD, AAPS Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8206 Leesburg Pike Ste 401, Vienna, VA 22182 Phone: 703-356-5666 | |
Dr. Hanibal Mahdi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Maple Ave W Ste A, Vienna, VA 22180 Phone: 571-407-7004 Fax: 571-407-7092 | |
Mohammed Al-kadiri, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Maple Avenue West, Suite A, Vienna, VA 22180 Phone: 571-407-7004 |