| Whole Womans Health And Family Center Llc | |
|
2839 Duke St Alexandria VA 22314-4512 | |
| (434) 202-8818 | |
| Not Available |
| Full Name | Whole Womans Health And Family Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2839 Duke St, Alexandria, Virginia |
| Authorized Official Name and Position | Phillip Charles Love (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 4342028818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Whole Womans Health And Family Center Llc 1001 E Market St Ste 200 Charlottesville VA 22902-5381 Ph: (434) 202-8818 | Whole Womans Health And Family Center Llc 2839 Duke St Alexandria VA 22314-4512 Ph: (434) 202-8818 |
| NPI Number | 1629624481 |
|---|---|
| Provider Enumeration Date | 08/16/2019 |
| Last Update Date | 06/23/2022 |
| Medicare PECOS PAC ID | 9830524008 |
|---|---|
| Medicare Enrollment ID | O20200116000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629624481 | NPI | - | NPPES |
| 1629624481 | Medicaid | DC | |
| 49D0883911 | Other | CLIA | |
| 1629624481 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexa Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891250668 PECOS PAC ID: 5496096158 Enrollment ID: I20190417000061 |
| Provider Name | Allegra Daniela Deucher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225297898 PECOS PAC ID: 6901099258 Enrollment ID: I20200116000127 |
| Provider Name | Jaquelyn Rohui Yeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265886659 PECOS PAC ID: 3971899378 Enrollment ID: I20211201000064 |
| Provider Name | Sofia Gwen Levy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629636766 PECOS PAC ID: 2567878747 Enrollment ID: I20220107000589 |
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