Woodbridge Accident & Injury Center is a medicare enrolled "Nurse Practitioner" provider in Woodbridge, Virginia. Their current practice location is
13199 Centerpointe Way, Woodbridge, Virginia. You can reach out to their office (for appointments etc.) via phone at
(703) 730-0200.
Woodbridge Accident & Injury Center is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Woodbridge Accident & Injury 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 1770512444.
Healthcare Provider's Profile
| Full Name | Woodbridge Accident & Injury Center |
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| Type | Facility |
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| Speciality | Nurse Practitioner |
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| Location | 13199 Centerpointe Way, Woodbridge, 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: 1770512444
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466640925
- Enrollment ID: O20101228000174
Medical Identifiers
Medical identifiers for Woodbridge Accident & Injury Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770512444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (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.
Woodbridge Accident & Injury Center acts as a billing entity for following providers:
| Provider Name | Mitchell S White |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1346202678
PECOS PAC ID: 3971546045
Enrollment ID: I20050609000332 |
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| Provider Name | Nancy Galt Taylor |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1336162163
PECOS PAC ID: 8921019613
Enrollment ID: I20110314000185 |
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| Provider Name | Brian Crenshaw |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1639464290
PECOS PAC ID: 0143441055
Enrollment ID: I20191204000675 |
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| Provider Name | Debra Jean Massaro |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1578009346
PECOS PAC ID: 9739575739
Enrollment ID: I20220330002372 |
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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. Woodbridge Accident & Injury 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 |
|---|
Woodbridge Accident & Injury Center
13199 Centerpointe Way,
Woodbridge, VA 22193-5284
Ph: (703) 730-0200 | Woodbridge Accident & Injury Center
13199 Centerpointe Way,
Woodbridge, VA 22193-5284
Ph: (703) 730-0200 |
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