| Amanda Elaine Langkop Wanat, NP | |
|
16712 Jefferson Davis Hwy, Dumfries, VA 22026-2115 | |
| (703) 221-7467 | |
| Not Available |
| Full Name | Amanda Elaine Langkop Wanat |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 16712 Jefferson Davis Hwy, Dumfries, 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 |
|---|---|---|---|
| 1629835541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1153289 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024189661 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Diagnostic Of Virginia Llc | 6709960891 | 137 |
| Clark Palliative Medicine Group | 6901289461 | 6 |
| Clark Palliative Medicine Group | 6901289461 | 6 |
| Caregivers Palliative Care | 2163919671 | 3 |
| Entity Name | Clark Alliance Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952892028 PECOS PAC ID: 8325475981 Enrollment ID: O20200221000372 |
| Entity Name | Clark Palliative Medicine Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417680612 PECOS PAC ID: 6901289461 Enrollment ID: O20220816001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Elaine Langkop Wanat, NP 5049 7th Rd S Apt 202, Arlington, VA 22204-2521 Ph: (972) 904-8562 | Amanda Elaine Langkop Wanat, NP 16712 Jefferson Davis Hwy, Dumfries, VA 22026-2115 Ph: (703) 221-7467 |
Angela Ann Fasanella, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17739 Main St Ste 110, Dumfries, VA 22026 Phone: 703-574-3415 Fax: 757-452-5768 | |
Miriam C. Bryant, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17149 Gibson Mill Rd, Dumfries, VA 22026 Phone: 251-769-8379 | |
Julia Clark, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16712 Richmond Hwy, Dumfries, VA 22026 Phone: 703-221-7467 | |
Mrs. Judy Lorraine Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 Fax: 540-374-1164 | |
Monica Nyamekye, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3932 Copper Mill Dr, Dumfries, VA 22025 Phone: 703-307-4653 | |
Zahida Noor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3990 Fettler Park Dr, Dumfries, VA 22025 Phone: 571-499-5813 | |
Mrs. Amanda Lorge Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3990 Fettler Park Dr, Dumfries, VA 22025 Phone: 571-499-5813 |