Mrs Laura Leigh Wolok, RD, CDE is a medicare enrolled "Registered Nurse - Diabetes Educator" provider in Fairfax, Virginia. Her current practice location is
2740 Prosperity Ave Ste 200, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at
(877) 511-4625.
Mrs Laura Leigh Wolok is licensed to practice in Virginia (license number 20320510) 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 1184954539.
Healthcare Provider's Profile
Full Name | Mrs Laura Leigh Wolok |
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Gender | Female |
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Speciality | Registered Nurse - Diabetes Educator |
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Location | 2740 Prosperity Ave Ste 200, 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: 1184954539
- Provider Enumeration Date: 01/07/2010
- Last Update Date: 10/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1658592894
- Enrollment ID: I20141031001095
Medical Identifiers
Medical identifiers for Mrs Laura Leigh Wolok such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184954539 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | 20320510 (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. Mrs Laura Leigh Wolok allows following entities to bill medicare on her behalf.
Provider Name | Inova Health Care Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
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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. Mrs Laura Leigh Wolok 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 |
Mrs Laura Leigh Wolok, RD, CDE 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 Ph: (877) 511-4625 | Mrs Laura Leigh Wolok, RD, CDE 2740 Prosperity Ave Ste 200, Fairfax, VA 22031-4354 Ph: (877) 511-4625 |
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