Ashburn Medical Spa & Wellness Center is a medicare enrolled "Clinic/center - Multi-specialty" provider in Ashburn, Virginia. Their current practice location is
20955 Professional Plz Ste 320, Ashburn, Virginia. You can reach out to their office (for appointments etc.) via phone at
(571) 918-0795.
Ashburn Medical Spa & Wellness Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ashburn Medical Spa & Wellness Center
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 1912062985.
Healthcare Provider's Profile
| Full Name | Ashburn Medical Spa & Wellness Center |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 20955 Professional Plz Ste 320, Ashburn, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912062985
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 03/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 3375572753
- Enrollment ID: O20090310000640
Medical Identifiers
Medical identifiers for Ashburn Medical Spa & Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912062985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 03422 (Maryland) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ashburn Medical Spa & Wellness Center acts as a billing entity for following providers:
| Provider Name | Kraig D Moore |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1790957983
PECOS PAC ID: 4981741063
Enrollment ID: I20100614000282 |
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| Provider Name | Tara Lynn Urschel |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1932149796
PECOS PAC ID: 8426222795
Enrollment ID: I20220203002078 |
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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. Ashburn Medical Spa & Wellness Center 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 |
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Ashburn Medical Spa & Wellness Center
20955 Professional Plz Ste 320,
Ashburn, VA 20147-3405
Ph: (571) 918-0795 | Ashburn Medical Spa & Wellness Center
20955 Professional Plz Ste 320,
Ashburn, VA 20147-3405
Ph: (571) 918-0795 |
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