Yared A Gebreyesus
BLUE NILE MEDICAL CENTER, P.C.


Address: 85 S S Bragg St, Suite 100, Alexandria, VA 22312-2793
Phone: 7038450700

Yared A Gebreyesus (NPI# 1366432692, PAC ID# 3678504461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1366432692
PAC ID by PECOS 3678504461
Professional Enrollment ID I20051129000375
Full Name Yared A Gebreyesus
Organization Legal Name BLUE NILE MEDICAL CENTER, P.C.
Address 85 S S Bragg St
Suite 100
Alexandria
VA 22312-2793
Phone Number 7038450700
Gender M
Credential MD
Graduation Year 1988
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 1355304049
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490040 INOVA ALEXANDRIA HOSPITAL
490140 STAFFORD HOSPITAL, LLC
490022 MARY WASHINGTON HOSPITAL
490050 VIRGINIA HOSPITAL CENTER

Other Locations

Address Phone Organization
85 S S Bragg St, Suite 100, Alexandria, VA 22312-2793 7038450700 BLUE NILE MEDICAL CENTER, P.C.
2146 Jefferson Davis Hwy 101, Stafford, VA 22554-7223 5406579191 MEDICAL AND URGENT CARE CENTER, PC

Organization Information

Organization Legal Name BLUE NILE MEDICAL CENTER, P.C.
Physicians 1

Office Location

Street Address 85 S S BRAGG ST
SUITE 100
City ALEXANDRIA
State VA
Zip 22312-2793

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Competitor

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City ALEXANDRIA
Zip Code 22312
Specialty INTERNAL MEDICINE
City + Specialty ALEXANDRIA + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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