| Divya Bansal, PA-C | |
|
8988 Lorton Station Blvd, Suite 202, Lorton, VA 22079-4758 | |
| (703) 372-2280 | |
| (703) 372-2024 |
| Full Name | Divya Bansal |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 8988 Lorton Station Blvd, Suite 202, Lorton, 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 |
|---|---|---|---|
| 1407295215 | NPI | - | NPPES |
| 1407295215 | Medicaid | VA | |
| 30016833620001 | Medicaid | VA |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Entity Name | Washington Hospital Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407870124 PECOS PAC ID: 3577476266 Enrollment ID: O20040630000173 |
| Entity Name | Whc Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700154226 PECOS PAC ID: 6103093513 Enrollment ID: O20120125000252 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Divya Bansal, PA-C 224-d Cornwall Street Nw, Suite 204, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Divya Bansal, PA-C 8988 Lorton Station Blvd, Suite 202, Lorton, VA 22079-4758 Ph: (703) 372-2280 |
Hope L Irwin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9427 Lorton Market St, Lorton, VA 22079 Phone: 571-336-7614 Fax: 571-336-7615 |
Briana Ciampi Murakami, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9500 Richmond Hwy, Lorton, VA 22079 Phone: 571-800-8915 |
Ms. Susan Adair Lang Messing, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9500 Richmond Hwy, Lorton, VA 22079 Phone: 571-800-8915 |