| Brian Derner, | |
|
6455 Lake Meadow Dr, Burke, VA 22015-3935 | |
| (703) 930-5105 | |
| (703) 930-5105 |
| Full Name | Brian Derner |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 8 Years |
| Location | 6455 Lake Meadow Dr, Burke, 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 |
|---|---|---|---|
| 1265941876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1000 (Arizona) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5878 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - San Leandro | San leandro, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Derner, 6455 Lake Meadow Dr, Burke, VA 22015-3935 Ph: (703) 930-5105 | Brian Derner, 6455 Lake Meadow Dr, Burke, VA 22015-3935 Ph: (703) 930-5105 |
Dr. Joel I Miller, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7303 Mizzen Pl, Burke, VA 22015 Phone: 703-203-0744 | |
Dr. Gary J Arminio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5631 Burke Centre Parkway, Suite K, Burke, VA 22015 Phone: 703-250-2904 Fax: 703-280-2939 | |
The Burke Foot And Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5631 Burke Centre Pkwy, Ste K, Burke, VA 22015 Phone: 703-250-2904 Fax: 703-250-2939 |