| Mrs Kacey Lynn Zane, RN | |
|
24430 Stone Springs Blvd., Suite 475, Dulles, VA 20166-2272 | |
| (703) 957-1245 | |
| (703) 665-2374 |
| Full Name | Mrs Kacey Lynn Zane |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 24430 Stone Springs Blvd., Suite 475, Dulles, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134892813 | NPI | - | NPPES |
| 30018255250001 | Medicaid | VA |
| 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 |
|---|---|
| Mrs Kacey Lynn Zane, RN 224-d Cornwall Street, Nw, Ste 403, Leesburg, Va, VA 20176 Ph: (703) 737-6010 | Mrs Kacey Lynn Zane, RN 24430 Stone Springs Blvd., Suite 475, Dulles, VA 20166-2272 Ph: (703) 957-1245 |
Traci Annetta Marin, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd., Suite 475, Dulles, VA 20166 Phone: 703-957-1245 | |
Margaret Jeanne Brandquist, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 24430 Stone Springs Blvd, Suite 550, Dulles, VA 20166 Phone: 703-957-1245 Fax: 703-665-2374 | |
Mrs. Amanda Rose Carmen, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 24430 Stone Springs Blvd Ste 475, Dulles, VA 20166 Phone: 703-957-1245 Fax: 703-665-2374 |