Mrs Min Jin Jung Detrick, PA-C is a medicare enrolled "Physician Assistant" in Tysons, Virginia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Inova Health Care Services and her current practice location is
8100 Boone Blvd Ste 700, Tysons, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 531-2269.
Mrs Min Jin Jung Detrick is licensed to practice in Virginia (license number 0110003714) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285884007.
Provider's Profile
Full Name | Mrs Min Jin Jung Detrick |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 16 Years |
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Location | 8100 Boone Blvd Ste 700, Tysons, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Min Jin Jung Detrick graduated from nursing school in 2008
NPI Data:
- NPI Number: 1285884007
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 03/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961570296
- Enrollment ID: I20130320000596
Medical Identifiers
Medical identifiers for Mrs Min Jin Jung Detrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285884007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-01553 (North Carolina) | Secondary |
363A00000X | Physician Assistant | 0110003714 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Inova Health Care Services | 2466351093 | 1725 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Min Jin Jung Detrick is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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