Vilma Gisell Gaitan Valdizan, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Fairfax, Virginia. Her current practice location is
8221 Willow Oaks Corporate Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 383-8500.
Vilma Gisell Gaitan Valdizan is licensed to practice in Virginia (license number 0904012365) 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 1407453442.
Healthcare Provider's Profile
Full Name | Vilma Gisell Gaitan Valdizan |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8221 Willow Oaks Corporate Dr, Fairfax, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407453442
- Provider Enumeration Date: 10/02/2020
- Last Update Date: 10/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294146643
- Enrollment ID: I20201116002877
Medical Identifiers
Medical identifiers for Vilma Gisell Gaitan Valdizan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407453442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103128 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904012365 (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. Vilma Gisell Gaitan Valdizan allows following entities to bill medicare on her behalf.
Entity Name | Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 6002701356 Enrollment ID: O20040217000340 |
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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. Vilma Gisell Gaitan Valdizan 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 |
Vilma Gisell Gaitan Valdizan, LCSW, CSAC 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (703) 383-8500 | Vilma Gisell Gaitan Valdizan, LCSW, CSAC 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (703) 383-8500 |
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