| Nicholas George Lailas, MD | |
|
1860 Town Center Drive, Suite 150, Reston, VA 20190-5905 | |
| (703) 480-0220 | |
| (703) 480-0280 |
| Full Name | Nicholas George Lailas |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 1860 Town Center Drive, Suite 150, Reston, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750376539 | NPI | - | NPPES |
| 340017875 | Other | VA | RR MEDICARE VA |
| 340017876 | Other | DC | RRMEDICARE |
| 1750376539 | Medicaid | VA | |
| 30016055850001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101054583 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loudoun Medical Group, Pc | 0042119661 | 298 |
| Loudoun Medical Group, Pc | 0042119661 | 298 |
| Entity Name | Loudoun Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas George Lailas, MD 224 D Cornwall Street Nw, Ste 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Nicholas George Lailas, MD 1860 Town Center Drive, Suite 150, Reston, VA 20190-5905 Ph: (703) 480-0220 |
Dr. Mark Lawrence Bilowus, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1850 Town Center Parkway, Suite 409, Reston, VA 20190 Phone: 703-478-0260 Fax: 703-478-2718 | |
Dr. Janice Lee Arnold, MD Urology Medicare: Medicare Enrolled Practice Location: 1830 Town Center Dr, Ste 301, Reston, VA 20190 Phone: 703-742-7757 Fax: 703-742-6857 |