Dr Jeremiah Daun Fabry, DC, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Midlothian, Virginia. His current practice location is
13553 Midlothian Tpke, Midlothian, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 302-5212.
Dr Jeremiah Daun Fabry is licensed to practice in Virginia (license number 0024185634) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316050719.
Healthcare Provider's Profile
| Full Name | Dr Jeremiah Daun Fabry |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 13553 Midlothian Tpke, Midlothian, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316050719
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931261989
- Enrollment ID: I20230207000496
Medical Identifiers
Medical identifiers for Dr Jeremiah Daun Fabry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316050719 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 70 011334 (New York) | Secondary |
| 111N00000X | Chiropractor | 0104557193 (Virginia) | Secondary |
| 163W00000X | Registered Nurse | 0001286217 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11023357 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024185634 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jeremiah Daun Fabry allows following entities to bill medicare on his behalf.
| Provider Name | Privia Medical Group Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011 |
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| Provider Name | Atlantic Knee Restoration & Regenerative Medicine - Richmond |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093387748
PECOS PAC ID: 3375940422
Enrollment ID: O20210916001793 |
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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. Dr Jeremiah Daun Fabry 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 |
|---|
Dr Jeremiah Daun Fabry, DC, FNP
13553 Midlothian Tpke,
Midlothian, VA 23113-4261
Ph: (804) 302-5212 | Dr Jeremiah Daun Fabry, DC, FNP
13553 Midlothian Tpke,
Midlothian, VA 23113-4261
Ph: (804) 302-5212 |
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