Vine Psychiatric Associates,llc | |
14631 Lee Hwy Ste 312 Centreville VA 20121-5834 | |
(757) 544-8342 | |
Not Available |
Full Name | Vine Psychiatric Associates,llc |
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Speciality | Psychiatry & Neurology |
Location | 14631 Lee Hwy Ste 312, Centreville, Virginia |
Authorized Official Name and Position | Young Hoon Bae (OWNER) |
Authorized Official Contact | 7038301800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vine Psychiatric Associates,llc 14631 Lee Hwy Ste 214 Centreville VA 20121-5827 Ph: (703) 830-1800 | Vine Psychiatric Associates,llc 14631 Lee Hwy Ste 312 Centreville VA 20121-5834 Ph: (757) 544-8342 |
NPI Number | 1891270435 |
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Provider Enumeration Date | 09/29/2018 |
Last Update Date | 02/03/2020 |
Certification Date | 02/03/2020 |
Medicare PECOS PAC ID | 0648519777 |
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Medicare Enrollment ID | O20190802001458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891270435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Young H Bae |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619931680 PECOS PAC ID: 1355317942 Enrollment ID: I20160204001723 |
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