| Mary Joseph Frickel, CFNP | |
|
1800 Town Center Drive, Suite 220, Reston, VA 20190-3238 | |
| (703) 435-2555 | |
| (571) 926-8910 |
| Full Name | Mary Joseph Frickel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1800 Town Center Drive, Suite 220, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053556175 | NPI | - | NPPES |
| 1053556175 | Medicaid | VA | |
| 30015909410002 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024121397 (Virginia) | Primary |
| Entity Name | Loudoun Medical Group, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407908817 PECOS PAC ID: 0042119661 Enrollment ID: O20040102000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Joseph Frickel, CFNP 224-d Cornwall St., Nw Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Mary Joseph Frickel, CFNP 1800 Town Center Drive, Suite 220, Reston, VA 20190-3238 Ph: (703) 435-2555 |
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11415 Isaac Newton Sq S, Reston, VA 20190 Phone: 301-535-8457 |
Julia Grace Cyr, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11921 Freedom Dr Ste 550, Reston, VA 20190 Phone: 703-783-4375 Fax: 571-376-6564 |
Louise C Ritz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12524 Sunrise Valley Dr, Reston, VA 20191 Phone: 703-689-2180 Fax: 703-481-3853 |
Mrs. Inga Marler, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12103 Stirrup Rd, Reston, VA 20191 Phone: 612-225-1538 |
Pamela Ashley Michel, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr Ste 150, Reston, VA 20190 Phone: 703-480-0220 Fax: 703-480-0280 |
Ms. Maureen E West, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11445 Sunset Hill Road, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1711 |
Ms. Dana Jones-sheppard, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12040 S Lakes Dr Ste 204, Reston, VA 20191 Phone: 703-230-0347 Fax: 703-230-0350 |