Katelin Jackfert Emory, | |
8505 Arlington Blvd, Fairfax, VA 22031-4621 | |
(703) 280-1234 | |
Not Available |
Full Name | Katelin Jackfert Emory |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 8505 Arlington Blvd, Fairfax, 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 |
---|---|---|---|
1699130286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024173156 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fairfax Hospital | Falls church, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inova Health Care Services | 2466351093 | 1778 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Inova Health Care Services |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1538870191 PECOS PAC ID: 2466351093 Enrollment ID: O20230206002835 |
Mailing Address | Practice Location Address |
---|---|
Katelin Jackfert Emory, 4168 Zinnia Ln, Fairfax, VA 22030-6046 Ph: (304) 395-0444 | Katelin Jackfert Emory, 8505 Arlington Blvd, Fairfax, VA 22031-4621 Ph: (703) 280-1234 |
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