| Mrs Min Jin Jung Detrick, PA-C | |
|
8100 Boone Blvd Ste 700, Tysons, VA 22182-2683 | |
| (703) 531-2269 | |
| Not Available |
| Full Name | Mrs Min Jin Jung Detrick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 8100 Boone Blvd Ste 700, Tysons, 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 |
|---|---|---|---|
| 1285884007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-01553 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0110003714 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Health Care Services | 2466351093 | 1588 |
| Inova Health Care Services | 2466351093 | 1588 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Min Jin Jung Detrick, PA-C 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-4001 | Mrs Min Jin Jung Detrick, PA-C 8100 Boone Blvd Ste 700, Tysons, VA 22182-2683 Ph: (703) 531-2269 |
Mehdi Tavazoei, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1980 Gallows Rd, Tysons, VA 22182 Phone: 703-942-5331 | |
Mrs. Lauren Elizabeth Stover, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Tysons Blvd Ste 300, Tysons, VA 22102 Phone: 202-660-0050 Fax: 415-252-7176 |