| Ethan Snider, PA-C | |
|
180 Maple Ave W, Vienna, VA 22180-5727 | |
| (571) 363-3539 | |
| (571) 363-3540 |
| Full Name | Ethan Snider |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 180 Maple Ave W, Vienna, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285189381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110007078 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Ucc Llc | 7012385040 | 158 |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
| Entity Name | Inova Ucc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221201001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Snider, PA-C 4801 Howard Ave, Beltsville, MD 20705-1950 Ph: (301) 312-2792 | Ethan Snider, PA-C 180 Maple Ave W, Vienna, VA 22180-5727 Ph: (571) 363-3539 |
Miss Alathea Joy Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9480 Virginia Center Blvd Unit 101, Vienna, VA 22181 Phone: 703-577-9916 |
Mr. Hector David Bird, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Kidwell Dr Ste 101, Vienna, VA 22182 Phone: 571-348-4721 |
Kendra V Mingo, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8375 Leesburg Pike, Vienna, VA 22182 Phone: 571-889-3237 Fax: 571-889-3238 |
Mr. Biniam Abraham, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9628 Prelude Ct, Vienna, VA 22182 Phone: 571-276-2975 |
Ms. Amy Elizabeth Mckee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Park Street, Se, Suite 300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457 |
Lauren Allen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8245 Boone Blvd Ste 540, Vienna, VA 22182 Phone: 276-971-5293 |
Joy K Roberson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 820 Follin Ln Se, Vienna, VA 22180 Phone: 877-222-8808 |