| Dr Jennifer Lynn Breseman, FNP-BC | |
|
1313 Dolley Madison Boulevard, Suite 104, Mc Lean, VA 22101-3926 | |
| (703) 263-8282 | |
| Not Available |
| Full Name | Dr Jennifer Lynn Breseman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1313 Dolley Madison Boulevard, Suite 104, Mc Lean, 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 |
|---|---|---|---|
| 1205461498 | NPI | - | NPPES |
| 30016291810001 | Medicaid | VA | |
| 1205461498 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024181430 (Virginia) | Primary |
| 163WG0000X | Registered Nurse - General Practice | 0001150606 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loudoun Medical Group, Pc | 0042119661 | 298 |
| Entity Name | Loudoun Medical Group, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Lynn Breseman, FNP-BC 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Dr Jennifer Lynn Breseman, FNP-BC 1313 Dolley Madison Boulevard, Suite 104, Mc Lean, VA 22101-3926 Ph: (703) 263-8282 |
Kathleen Judge Bowie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8200 Jones Branch Dr Rm 1317, Mc Lean, VA 22102 Phone: 703-903-2844 | |
Mrs. Cynthia Ann Leaver, PHD, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6442 | |
In Kyung Kim, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1420 Beverly Rd Ste 380, Mc Lean, VA 22101 Phone: 571-554-2691 | |
Elena Sophia Ifarraguerri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1749 Old Meadow Rd Ste 600, Mc Lean, VA 22102 Phone: 703-783-3300 Fax: 703-783-3300 | |
Aeden Ghebreselassie, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1680 Capital One Dr, Mc Lean, VA 22102 Phone: 703-720-1290 Fax: 703-720-1291 | |
Corin Hohman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 Elm St Ste 600, Mc Lean, VA 22101 Phone: 703-748-9880 | |
Danielle Gibbens, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Spring Hill Rd Ste 210, Mc Lean, VA 22102 Phone: 703-738-4342 |