| Robert Lowell Hetzel, MD | |
|
224d Cornwall St Nw, Suite 106, Leesburg, VA 20176-2700 | |
| (703) 777-1612 | |
| (703) 777-2368 |
| Full Name | Robert Lowell Hetzel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 224d Cornwall St Nw, Leesburg, 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 |
|---|---|---|---|
| 1811980329 | NPI | - | NPPES |
| 010105757 | Medicaid | VA | |
| 010105706 | Medicaid | VA | |
| 010105731 | Medicaid | VA | |
| P00270260 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101232586 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Loudoun Hospital | Leesburg, VA | Hospital |
| Virginia Hospital Center | Arlington, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loudoun Medical Group, Pc | 0042119661 | 298 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| 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 |
|---|---|
| Robert Lowell Hetzel, MD Po Box 17334, Baltimore, MD 21297-1334 Ph: (703) 443-6717 | Robert Lowell Hetzel, MD 224d Cornwall St Nw, Suite 106, Leesburg, VA 20176-2700 Ph: (703) 777-1612 |
David Wayne Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Old Waterford Rd Nw, Leesburg, VA 20176 Phone: 703-779-9300 Fax: 703-779-9733 | |
Benjamin Harrison Mcilwaine, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 44045 Riverside Pkwy, Inova Loudoun Hospital, Leesburg, VA 20176 Phone: 703-858-6044 Fax: 705-858-6775 | |
Khurram N. Ali, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 | |
Karen Elizabeth Alexander, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 | |
Dr. Tony Chieuvan Nguyen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 | |
Minnie Sheila L Cruz-tolentino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1604 Village Market Blvd Se Ste 119, Leesburg, VA 20175 Phone: 703-777-9355 Fax: 703-783-5395 | |
Dr. Michael Lev Gitomirski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Potomac Station Dr Ne, Leesburg, VA 20176 Phone: 703-840-1396 |