| Kaley Lanzetta, CRNA | |
|
3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | |
| (703) 391-3129 | |
| (703) 391-3006 |
| Full Name | Kaley Lanzetta |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3600 Joseph Siewick Dr, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033583489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024173199 (Virginia) | Primary |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20031120000429 |
| Entity Name | Dominion Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073554952 PECOS PAC ID: 7618863713 Enrollment ID: O20040305000503 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Entity Name | Inova Cares - Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230620001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaley Lanzetta, CRNA 11781 Lee Jackson Memorial Hwy, Suite 550, Fairfax, VA 22033-3309 Ph: (571) 777-5100 | Kaley Lanzetta, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 391-3129 |
Melissa K Hersch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 | |
Kelsey Schulman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Mr. Ahmed Rauf Qureshi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-293-9590 Fax: 703-295-9369 | |
Ms. Christine B Culhane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Mr. Timothy J Rathbun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 | |
Ms. Carmen Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369 |