| Carla Karim Reynoso, | |
|
8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 | |
| (877) 415-4116 | |
| (571) 581-0803 |
| Full Name | Carla Karim Reynoso |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 8100 Ashton Ave Ste 200, Manassas, 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 |
|---|---|---|---|
| 1972123602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024181552 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Karim Reynoso, 10066 Apple Wood Ct, Burke, VA 22015-2726 Ph: (703) 298-6481 | Carla Karim Reynoso, 8100 Ashton Ave Ste 200, Manassas, VA 20109-5688 Ph: (877) 415-4116 |
Susan Brien Campbell, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 Fax: 703-396-5297 | |
Shraddha Lamichhane, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10892 Caraway Cir, Manassas, VA 20109 Phone: 703-980-2783 | |
Simon Oanhuk Choi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8551 Rixlew Ln Ste 140, Manassas, VA 20109 Phone: 703-361-4357 | |
Helen Karellas Bardis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9430 Forestwood Ln, Suite 100, Manassas, VA 20110 Phone: 703-365-0227 | |
Shahnoza Mamatova, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 Godwin Dr, Manassas, VA 20110 Phone: 703-396-1064 | |
Deepika Shrestha Rajbhandary, FNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6360 Hoadly Rd, Manassas, VA 20112 Phone: 703-897-4961 | |
Christien Byun, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 |