Anna Bougie, RDN in Fairfax, VA - Medicare Dietitian, Registered Provider

Anna Bougie, RDN is a medicare enrolled "Dietitian, Registered" provider in Fairfax, Virginia. Her current practice location is 3903 Fair Ridge Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 748-6704.

Anna Bougie is licensed to practice in Virginia (license number 86294225) 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 1205558004.

Contact Information

	Anna Bougie, RDN
	3903 Fair Ridge Dr, Fairfax, VA 22033-2943
	(571) 748-6704
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anna Bougie
Gender	Female
Speciality	Dietitian, Registered
Location	3903 Fair Ridge Dr, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205558004
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1759757503
Enrollment ID: I20221019000533

Medical Identifiers

Medical identifiers for Anna Bougie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205558004	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86294225 (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. Anna Bougie allows following entities to bill medicare on her behalf.

Provider Name	Privia Medical Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298

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. Anna Bougie 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
Anna Bougie, RDN 4000 Fairfax Dr, Arlington, VA 22203-1100 Ph: (920) 422-2949	Anna Bougie, RDN 3903 Fair Ridge Dr, Fairfax, VA 22033-2943 Ph: (571) 748-6704

Reviews and Comments

Dietitian, Registered in Fairfax, VA

Mrs. Jung-oak Joanne Choe, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9340 Tovito Dr, Fairfax, VA 22031 Phone: 703-772-1356
Neda Kashanian, D.T. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3023 Hamaker Ct Ste 600, Fairfax, VA 22031 Phone: 703-876-2788 Fax: 571-423-5064
Christine A Gilloon, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033 Phone: 703-359-8640 Fax: 703-591-6105
Heidi Ruth Hunnicutt, Dietitian Medicare: Medicare Enrolled Practice Location: 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 Phone: 703-865-6490
Carrie Peers, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-1945
Stephanie Lynn Smith, RDN, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4375 Fair Lakes Ct, Fairfax, VA 22033 Phone: 571-432-2669
Laura Royfe, MS RD Dietitian Medicare: Medicare Enrolled Practice Location: 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033 Phone: 703-391-4984

Anna Bougie, RDN - Medicare Dietitian in Fairfax, VA