| Michael Centra, | |
|
1760 Old Meadow Road, Suite 205, Mclean, VA 22102-4330 | |
| (703) 810-5214 | |
| Not Available |
| Full Name | Michael Centra |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 6 Years |
| Location | 1760 Old Meadow Road, Mclean, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093334732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 010001734 (District Of Columbia) | Secondary |
| 225X00000X | Occupational Therapist | 0119008514 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Provider Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Provider Name | Orthovirginia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588066740 PECOS PAC ID: 0547157224 Enrollment ID: O20150102000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Centra, 1115 Boulders Parkway, Suite 200, N Chesterfield, VA 23225-4067 Ph: (804) 560-5595 | Michael Centra, 1760 Old Meadow Road, Suite 205, Mclean, VA 22102-4330 Ph: (703) 810-5214 |
Megan Williams, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8315 Turning Leaf Ln, Mclean, VA 22102 Phone: 703-734-1600 | |
Veronica Martinez, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1735 Kirby Rd., Mclean, VA 22101 Phone: 571-228-2929 |