Sun Medical Center, Llc is a medicare enrolled "Clinic/center - Primary Care" provider in Annandale, Virginia. Their current practice location is
7700 Little River Tpke, Suite 100b, Annandale, Virginia. You can reach out to their office (for appointments etc.) via phone at
(703) 752-4623.
Sun Medical Center, Llc is licensed to practice in Virginia (license number 0101230358) and it also participates in the medicare program. Sun Medical Center, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1871970574.
Healthcare Provider's Profile
Full Name | Sun Medical Center, Llc |
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Type | Facility |
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Speciality | Clinic/center - Primary Care |
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Location | 7700 Little River Tpke, Annandale, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871970574
- Provider Enumeration Date: 05/01/2015
- Last Update Date: 04/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 0648564096
- Enrollment ID: O20160808000758
Medical Identifiers
Medical identifiers for Sun Medical Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871970574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 0121000672 (Virginia) | Secondary |
207Q00000X | Family Medicine | 0101038823 (Virginia) | Secondary |
207X00000X | Orthopaedic Surgery | 0101038823 (Virginia) | Secondary |
225100000X | Physical Therapist | 2305209975 (Virginia) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225700000X | Massage Therapist | 0019004519 (Virginia) | Secondary |
247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | (Virginia) | Secondary |
261QP2300X | Clinic/center - Primary Care | 0101230358 (Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sun Medical Center, Llc acts as a billing entity for following providers:
Provider Name | John K Kim |
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Provider Type | Practitioner - Internal Medicine |
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Provider Identifiers | NPI Number: 1053472159 PECOS PAC ID: 2769372085 Enrollment ID: I20040318001265 |
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Provider Name | Ranjit Cheriyan |
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Provider Type | Practitioner - Nephrology |
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Provider Identifiers | NPI Number: 1851487383 PECOS PAC ID: 3971562208 Enrollment ID: I20100405000249 |
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Provider Name | Sherry Hoss |
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Provider Type | Practitioner - Internal Medicine |
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Provider Identifiers | NPI Number: 1972698066 PECOS PAC ID: 6800812652 Enrollment ID: I20100826000634 |
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Provider Name | Janice Oh |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1952935777 PECOS PAC ID: 9537598552 Enrollment ID: I20200608001468 |
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Provider Name | Insun Choi Mandlebaum |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1568956530 PECOS PAC ID: 9335553817 Enrollment ID: I20210125000071 |
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Provider Name | Dantong Xu |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1184339897 PECOS PAC ID: 4486091154 Enrollment ID: I20240318003099 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sun Medical Center, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sun Medical Center, Llc 7700 Little River Tpke, Suite 100b, Annandale, VA 22003-2406 Ph: (703) 752-4623 | Sun Medical Center, Llc 7700 Little River Tpke, Suite 100b, Annandale, VA 22003-2406 Ph: (703) 752-4623 |
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