| Rezvan Heidari, FNP-C | |
|
5652 Pickwick Rd, Centreville, VA 20120-2057 | |
| (866) 389-2727 | |
| (401) 216-3854 |
| Full Name | Rezvan Heidari |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 5652 Pickwick Rd, Centreville, 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 |
|---|---|---|---|
| 1467811646 | NPI | - | NPPES |
| 1467811646 | Other | FNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024173245 (Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN1026344 (District Of Columbia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Ucc Llc | 7012385040 | 120 |
| Inova Ucc Llc | 7012385040 | 120 |
| Entity Name | Mc Medical Group Of Dc, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063644466 PECOS PAC ID: 3779629894 Enrollment ID: O20091005000003 |
| Entity Name | Inova Ucc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221201001300 |
| Mailing Address | Practice Location Address |
|---|---|
| Rezvan Heidari, FNP-C 5652 Pickwick Rd, Centreville, VA 20120-2057 Ph: (703) 631-9440 | Rezvan Heidari, FNP-C 5652 Pickwick Rd, Centreville, VA 20120-2057 Ph: (866) 389-2727 |
Hannah Adams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Centreville Rd, Centreville, VA 20121 Phone: 703-263-9600 | |
Pauline Abate, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120 Phone: 703-802-2004 Fax: 703-802-2113 | |
Angela Kari Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6201 Centreville Rd Ste 200, Centreville, VA 20121 Phone: 703-830-5600 Fax: 703-830-6942 | |
Mrs. Ramatu Dougray Jalloh, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14716 Grobie Pond Ln, Centreville, VA 20120 Phone: 703-485-5923 | |
Leah Zimmerman, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Stone Rd, Centreville, VA 20120 Phone: 703-266-2442 | |
Ms. Abigail Crisman Ho, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5645 Stone Rd, Centreville, VA 20120 Phone: 703-266-2442 Fax: 703-266-7158 | |
Mrs. Michelle M Paul, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6201 Centreville Rd Ste 200, Centreville, VA 20121 Phone: 703-830-5600 Fax: 703-830-6942 |