| Capital Caring Advanced Illness Services, Inc | |
|
3180 Fairview Park Drive Suite 600 Falls Church VA 22042 | |
| (703) 712-4874 | |
| Not Available |
| Full Name | Capital Caring Advanced Illness Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3180 Fairview Park Drive, Falls Church, Virginia |
| Authorized Official Name and Position | Matthew Guy Kestenbaum (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 7039571888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Caring Advanced Illness Services, Inc 3180 Fairview Park Drive Suite 600 Falls Church VA 22042 Ph: (703) 712-4874 | Capital Caring Advanced Illness Services, Inc 3180 Fairview Park Drive Suite 600 Falls Church VA 22042 Ph: (703) 712-4874 |
| NPI Number | 1659918381 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 1153759626 |
|---|---|
| Medicare Enrollment ID | O20200316001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659918381 | NPI | - | NPPES |
| Provider Name | John F Mccue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255480299 PECOS PAC ID: 6305825100 Enrollment ID: I20040715000888 |
| Provider Name | Charissa Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992791065 PECOS PAC ID: 5092736322 Enrollment ID: I20051214000166 |
| Provider Name | Jennifer Heck Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457502312 PECOS PAC ID: 0648457424 Enrollment ID: I20110602000738 |
| Provider Name | Heidi M Young |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578718292 PECOS PAC ID: 3870621154 Enrollment ID: I20110926000095 |
| Provider Name | Meena Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639305030 PECOS PAC ID: 1355598830 Enrollment ID: I20120906000458 |
| Provider Name | Tali Stopak-mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114263977 PECOS PAC ID: 7416194378 Enrollment ID: I20130513000513 |
| Provider Name | Kia M Williams Eagleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255392528 PECOS PAC ID: 0143306464 Enrollment ID: I20160708000018 |
| Provider Name | Christiana Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558805333 PECOS PAC ID: 4284909466 Enrollment ID: I20171016000142 |
| Provider Name | Djenie Helne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275901977 PECOS PAC ID: 8022315779 Enrollment ID: I20171108001721 |
| Provider Name | Alan Arthur Goldblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689608705 PECOS PAC ID: 0042297863 Enrollment ID: I20200814001254 |
| Provider Name | Shaz Shuja Anwar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1124415344 PECOS PAC ID: 8123444783 Enrollment ID: I20200826000686 |
| Provider Name | Maureen Musi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104315779 PECOS PAC ID: 1355677709 Enrollment ID: I20210225000987 |
| Provider Name | Rachel T Schoenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275069809 PECOS PAC ID: 2264709278 Enrollment ID: I20210713001376 |
| Provider Name | John Shyllon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255058160 PECOS PAC ID: 7315314507 Enrollment ID: I20221121000080 |
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