| Dr Andy Joseph Roussel, DPM | |
|
1721 Financial Loop, Lake Ridge, VA 22192-2460 | |
| (703) 491-9500 | |
| (703) 491-9994 |
| Full Name | Dr Andy Joseph Roussel |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 22 Years |
| Location | 1721 Financial Loop, Lake Ridge, 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 |
|---|---|---|---|
| 1417920117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103300955 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foot And Ankle Specialists Of The Mid-atlantic Llc | 6305017633 | 146 |
| Foot And Ankle Specialists Of The Mid-atlantic Llc | 6305017633 | 146 |
| Provider Name | Foot And Ankle Specialists Of The Mid-atlantic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073804712 PECOS PAC ID: 6305017633 Enrollment ID: O20170424001337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andy Joseph Roussel, DPM 1721 Financial Loop, Lake Ridge, VA 22192-2460 Ph: (703) 491-9500 | Dr Andy Joseph Roussel, DPM 1721 Financial Loop, Lake Ridge, VA 22192-2460 Ph: (703) 491-9500 |
Dr. Mark L Scripps, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1721 Financial Loop, Lake Ridge, VA 22192 Phone: 703-491-9500 | |
Dr. Douglas Edward Stabile, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1721 Financial Loop, Lake Ridge, VA 22192 Phone: 703-491-9500 | |
Dr. James H Chung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1721 Financial Loop, Lake Ridge, VA 22192 Phone: 703-491-9500 Fax: 703-491-9994 | |
Dr. Richard Derner, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1721 Financial Loop, Lake Ridge, VA 22192 Phone: 703-491-9500 |