| Kristopher Bosque, | |
|
11341 Sunset Hills Rd, Reston, VA 20190-5205 | |
| (703) 471-0919 | |
| Not Available |
| Full Name | Kristopher Bosque |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 11341 Sunset Hills Rd, Reston, 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 |
|---|---|---|---|
| 1093257768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001258580 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024174556 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reston Anesthesia Associates Pc | 2567361124 | 45 |
| Dominion Anesthesia Pllc | 7618863713 | 72 |
| Stonesprings Anesthesia Associates Ltd | 8921300971 | 22 |
| Entity Name | Reston Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210093 PECOS PAC ID: 2567361124 Enrollment ID: O20040102000829 |
| 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 | Capitol Anesthesia Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194106955 PECOS PAC ID: 3274848320 Enrollment ID: O20150818005376 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher Bosque, 21266 Victorias Cross Ter, Ashburn, VA 20147-4938 Ph: () - | Kristopher Bosque, 11341 Sunset Hills Rd, Reston, VA 20190-5205 Ph: (703) 471-0919 |
Sarah Katharina Jungnitsch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 Phone: 703-689-9000 | |
John M Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 | |
Amy M Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 | |
Judith S Carter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1860 Town Center Pkwy, #g100 Reston Surgery Center, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 | |
Mae B Barbera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 | |
Joette Dorosheff, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1850 Town Center Pkwy, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 | |
Kelly L Pashke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Parkway, Reston Hospital Center, Reston, VA 20190 Phone: 703-471-0919 Fax: 703-742-9081 |