| Ms Mahawa Mbalu Kagbo, FNP | |
|
5864 Wood Flower Ct, Burke, VA 22015-2713 | |
| (571) 218-6565 | |
| (703) 504-7662 |
| Full Name | Ms Mahawa Mbalu Kagbo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 5864 Wood Flower Ct, Burke, 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 |
|---|---|---|---|
| 1659649655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0001169930 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Ucc Llc | 7012385040 | 120 |
| Inova Ucc Llc | 7012385040 | 120 |
| Entity Name | Inova Health Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
| Entity Name | Inova Ucc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221123001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Mahawa Mbalu Kagbo, FNP 5864 Wood Flower Ct, Burke, VA 22015-2713 Ph: (571) 218-6565 | Ms Mahawa Mbalu Kagbo, FNP 5864 Wood Flower Ct, Burke, VA 22015-2713 Ph: (571) 218-6565 |
Ms. Martina M Lavrisha, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5999 Burke Commons Rd, Burke, VA 22015 Phone: 703-249-7000 | |
Patti Lee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5631 Burke Centre Pkwy Ste C, Burke, VA 22015 Phone: 831-443-8200 Fax: 831-449-3493 | |
Dr. Nina Mai, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9409 Old Burke Lake Rd Ste B, Burke, VA 22015 Phone: 703-978-4200 Fax: 703-503-8263 | |
Mrs. Helene L. Hemus, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6035 Burke Centre Pkwy Ste 120, Burke, VA 22015 Phone: 703-425-6010 | |
Christen Marie Davis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9520 Burke Rd, Burke, VA 22015 Phone: 703-425-8616 | |
Dana Michele Harrington, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8988 Fern Park Dr., Burke, VA 22015 Phone: 571-650-2533 Fax: 904-262-9076 | |
Kimberly Cofsky, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9520 Burke Rd, Burke, VA 22015 Phone: 703-425-8616 |