| Katheryn Danielle Caro, | |
|
205 E. Hirst Road, Suite 200, Purcellville, VA 20132-6199 | |
| (540) 338-6101 | |
| Not Available |
| Full Name | Katheryn Danielle Caro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 205 E. Hirst Road, Suite 200, Purcellville, 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 |
|---|---|---|---|
| 1245049865 | NPI | - | NPPES |
| 30018486880001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110011557 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loudoun Medical Group, Pc | 0042119661 | 272 |
| 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 |
|---|---|
| Katheryn Danielle Caro, 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Katheryn Danielle Caro, 205 E. Hirst Road, Suite 200, Purcellville, VA 20132-6199 Ph: (540) 338-6101 |
Mrs. Katie E. Brewer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17336 Pickwick Dr, Purcellville, VA 20132 Phone: 540-338-3360 |
Callie Alexa Pellegrino, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 N Maple Ave, Purcellville, VA 20132 Phone: 540-338-0032 |
Ms. Polly Ann Porter, PA-C, ATC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 35731 Dunthorpe Ln, Purcellville, VA 20132 Phone: 703-395-3885 |