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CONNIE D. LE M.D P.C NPI 1174712301


NPI Information

NPI: 1174712301
Provider Name: CONNIE D. LE, M.D, P.C
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
4208 EVERGREEN LN
SUITE 214
ANNANDALE, VA
ZIP 22003
Phone: (703) 642-6633
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CONNIE D. LE, M.D, P.C is an exclusive provider organization in Annandale, VA. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. CONNIE D. LE, M.D, P.C NPI is 1174712301. The provider is registered as an organization entity type.

The provider's business location address is:

4208 EVERGREEN LN
SUITE 214
ANNANDALE, VA
ZIP 22003-235
Phone: (703) 642-6633
Fax: (703) 642-6699

The provider's authorized official is Connie D Le .
The authorized official title is President and has the following contact phone number (703) 642-6633.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 10/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302F00000XExclusive Provider Organization0101237697VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K8390001OTHERVIRGINIABLUE CROSS BLUE SHIELD
29389238OTHERVIRGINIAJOHN ALDEN LIFE INSURANCE
3178649OTHERVIRGINIAANTHEM
42536483OTHERVIRGINIAUNITED HEALTH CARE
53850929OTHERVIRGINIAAETNA HMO
6720471OTHERVIRGINIANCPPO, HEALTH LINK
79166111OTHERVIRGINIACIGNA
89389238OTHERVIRGINIAA;LIED BENEFIT SYSTEM
9I10410MEDICARE UPINDISTRICT OF COLUMBIA
109389238OTHERVIRGINIAPHCS
117120704OTHERVIRGINIAAETNA NON HMO
12178649OTHERVIRGINIAUNICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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