| Deepika Mathialagan, | |
|
590 Grove St, Herndon, VA 20170-4725 | |
| (800) 275-8777 | |
| Not Available |
| Full Name | Deepika Mathialagan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 590 Grove St, Herndon, 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 |
|---|---|---|---|
| 1730742594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1522 |
| Privia Medical Group, Llc | 4385682061 | 1522 |
| 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 |
| Entity Name | Millenium Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740443183 PECOS PAC ID: 9335201177 Enrollment ID: O20140219000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Deepika Mathialagan, 590 Grove St, Herndon, VA 20170-4725 Ph: (800) 275-8777 | Deepika Mathialagan, 590 Grove St, Herndon, VA 20170-4725 Ph: (800) 275-8777 |
Thomas John Schymanski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13350 Franklin Farm Road, Ste 220, Herndon, VA 20171 Phone: 703-810-5204 Fax: 703-810-5411 |
Gabrielle Marinelli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Elden St Ste 3b, Herndon, VA 20170 Phone: 703-709-9771 |
Mrs. Diviyalaxmi Muruganandam, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 381 Elden St Ste 1000, Herndon, VA 20170 Phone: 703-481-1505 Fax: 703-742-8793 |
Monique Chinyere Nwala, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1141 Elden St Ste 300, Herndon, VA 20170 Phone: 703-840-4705 |
Tracy Tartaglione, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Rd Ste 220, Herndon, VA 20171 Phone: 703-810-5204 Fax: 703-810-5411 |
Jason Leo Maslow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13350 Franklin Farm Rd, Ste 220, Herndon, VA 20171 Phone: 703-810-5204 Fax: 703-810-5411 |
Ms. Jennifer Lynn Leseman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Elden St Ste 3b, Herndon, VA 20170 Phone: 703-709-9771 Fax: 888-519-0045 |