| Neuroscience Consultants, Plc | |
| 
					12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479  | |
| (703) 478-0440 | |
| Not Available | 
| Full Name | Neuroscience Consultants, Plc | 
|---|---|
| Speciality | Psychiatry & Neurology | 
| Location | 12007 Sunrise Valley Dr, Reston, Virginia | 
| Authorized Official Name and Position | David W Francis (BUSINESS MANAGER) | 
| Authorized Official Contact | 3016209617 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Neuroscience Consultants, Plc Po Box 79429 Baltimore MD 21279-0429 Ph: (301) 620-9762  | Neuroscience Consultants, Plc 12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479 Ph: (703) 478-0440  | 
| NPI Number | 1871508366 | 
|---|---|
| Provider Enumeration Date | 07/31/2006 | 
| Last Update Date | 09/29/2023 | 
| Certification Date | 09/29/2023 | 
| Medicare PECOS PAC ID | 3577725282 | 
|---|---|
| Medicare Enrollment ID | O20120425000541 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871508366 | NPI | - | NPPES | 
| 463890C2 | Other | VA | MAMSI | 
| 463890C2 | Other | VA | ALLIANCE | 
| 223961 | Other | VA | ANTHEM | 
| 4571 | Other | DC | CAREFIRST DC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary | 
| Provider Name | Jon D Peters | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1689776106 PECOS PAC ID: 2062509300 Enrollment ID: I20071226000444  | 
| Provider Name | Ruben Cintron | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1811904352 PECOS PAC ID: 4789771023 Enrollment ID: I20071227000175  | 
| Provider Name | Richard Ospina | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1477658730 PECOS PAC ID: 5597855882 Enrollment ID: I20071227000179  | 
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