Chidera B Anumudu, in Bristow, VA - Medicare Social Worker Provider

Chidera B Anumudu, is a medicare enrolled "Social Worker - Clinical" provider in Bristow, Virginia. Her current practice location is 11835 Hazel Circle Dr, Bristow, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 659-9900.

Chidera B Anumudu is licensed to practice in Virginia (license number 0904016976) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114763067.

Contact Information

	Chidera B Anumudu,
	11835 Hazel Circle Dr, Bristow, VA 20136-1223
	(703) 659-9900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chidera B Anumudu
Gender	Female
Speciality	Social Worker - Clinical
Location	11835 Hazel Circle Dr, Bristow, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114763067
Provider Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3971040098
Enrollment ID: I20240806003457

Medical Identifiers

Medical identifiers for Chidera B Anumudu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114763067	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904016976 (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. Chidera B Anumudu allows following entities to bill medicare on her behalf.

Entity Name	Youth For Tomorrow New Life Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316118292 PECOS PAC ID: 1951673227 Enrollment ID: O20170822000018

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. Chidera B Anumudu 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
Chidera B Anumudu, 7376 Route 29 Unit 104, Falls Church, VA 22046-4766 Ph: (919) 457-7150	Chidera B Anumudu, 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: (703) 659-9900

Reviews and Comments

Social Worker in Bristow, VA

Mr. Kenneth Richard Thau, M.S.W., J.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Sequoia Park Way, Bristow, VA 20136 Phone: 202-320-5322
Jessica Renee Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-310-7378 Fax: 866-244-0065
Aubrey Anne New, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-396-7605
Kathleen Lucy Persson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877
Cindy Lin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10020 Three Sisters Ct, Bristow, VA 20136 Phone: 703-989-9808
Mrs. Tracy Eileen Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877

Chidera B Anumudu, - Medicare Clinical Social Worker in Bristow, VA