| Mrs Lydia Maxine Wheeler, FNP-BC | |
| 
					8725 John J Kingman Rd, Fort Belvoir, VA 22060-6217  | |
| (703) 863-0632 | |
| Not Available | 
| Full Name | Mrs Lydia Maxine Wheeler | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 8725 John J Kingman Rd, Fort Belvoir, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811539067 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 0024178325 (Virginia) | Primary | 
| Entity Name | Mary Washington Healthcare Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Lydia Maxine Wheeler, FNP-BC 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 Ph: () -  | Mrs Lydia Maxine Wheeler, FNP-BC 8725 John J Kingman Rd, Fort Belvoir, VA 22060-6217 Ph: (703) 863-0632  | 
Katie Lynne Kotopoulos,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-1803  | |
Jenney Lu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224  | |
Shantel R Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-1803  | |
Mrs. Jennifer Elizabeth Hesselberth, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3454 Fax: 571-231-6757  | |
Bonnie L. Breneman, RNC/WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0311 Fax: 703-805-9351  | |
Jeremiah Leaming, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224  | |
Lakisha M Williams,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 202-657-7757  |