| John T Mallery, CRNA | |
|
4320 Seminary Rd, Department Of Anesthesia, Alexandria, VA 22304-1535 | |
| (703) 504-3789 | |
| (703) 295-9369 |
| Full Name | John T Mallery |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 4320 Seminary Rd, Alexandria, 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 |
|---|---|---|---|
| 1558613828 | NPI | - | NPPES |
| 1558613828 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024170473 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youngs Professional Services Llc | 2163524992 | 218 |
| Entity Name | Anesthesiology & Pain Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841287901 PECOS PAC ID: 3870490402 Enrollment ID: O20031212000737 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Entity Name | Precision Anesthesia Of Lafayette Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285117879 PECOS PAC ID: 2860746351 Enrollment ID: O20181120001221 |
| Mailing Address | Practice Location Address |
|---|---|
| John T Mallery, CRNA 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033-2907 Ph: (703) 295-9360 | John T Mallery, CRNA 4320 Seminary Rd, Department Of Anesthesia, Alexandria, VA 22304-1535 Ph: (703) 504-3789 |
Mr. Valentine Jean Toussaint Niles, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4320 Seminary Rd, Alexandria, VA 22304 Phone: 703-504-3521 | |
Brittany Brugos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4320 Seminary Rd, Alexandria, VA 22304 Phone: 703-504-3000 | |
Stephen C Winfrey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6355 Walker Ln, 200, Alexandria, VA 22310 Phone: 703-922-9501 Fax: 703-922-5347 | |
Mrs. Judith R Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4320 Seminary Rd, Alexandria, VA 22304 Phone: 703-766-9697 | |
Ms. Mary Jane Kearney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2501 Parkers Ln, Alexandria, VA 22306 Phone: 703-295-9360 | |
Anna Morgan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2501 Parkers Ln, Alexandria, VA 22306 Phone: 703-664-7000 | |
Mr. Mychael Dennis Mendoza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4320 Seminary Rd, Alexandria, VA 22304 Phone: 703-766-9699 |