Carissa Jean Ildefonso Vea, MD in Rockville, MD

Carissa Jean Ildefonso Vea, MD is a medicare enrolled "Family Medicine" physician in Rockville, Maryland. Her current practice location is 6000 Executive Blvd Ste 625, Rockville, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 314-7080.

Carissa Jean Ildefonso Vea is licensed to practice in Maryland (license number D0069419) 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 1952516619.

Contact Information

	Carissa Jean Ildefonso Vea, MD
	6000 Executive Blvd Ste 625, Rockville, MD 20852-3877
	(240) 314-7080
	Not Available

Map and Direction

Physician's Profile

Full Name	Carissa Jean Ildefonso Vea
Gender	Female
Speciality	Family Medicine
Location	6000 Executive Blvd Ste 625, Rockville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952516619
Provider Enumeration Date: 05/14/2007
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 5193861482
Enrollment ID: I20090929000568

Medical Identifiers

Medical identifiers for Carissa Jean Ildefonso Vea such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952516619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MT188480 (Pennsylvania)	Secondary
207Q00000X	Family Medicine	D0069419 (Maryland)	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. Carissa Jean Ildefonso Vea allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065

Entity Name	Medexpress Urgent Care Pc - Maryland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164707980 PECOS PAC ID: 9739355074 Enrollment ID: O20120109000056

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. Carissa Jean Ildefonso Vea 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
Carissa Jean Ildefonso Vea, MD 9910 Franklin Square Dr # 2110, Baltimore, MD 21236-4902 Ph: (410) 933-5412	Carissa Jean Ildefonso Vea, MD 6000 Executive Blvd Ste 625, Rockville, MD 20852-3877 Ph: (240) 314-7080

Reviews and Comments

Family Medicine Doctors in Rockville, MD

Fudia Kallay, Family Medicine Medicare: Medicare Enrolled Practice Location: 9909 Medical Center Dr, Rockville, MD 20850 Phone: 240-684-6150
Dr. Jack Richard Epstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Congressional Ln, Suite 318, Rockville, MD 20852 Phone: 301-984-8689 Fax: 301-984-4843
Dr. Hua-chuan Sim, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10960 Bloomingdale Dr, Rockville, MD 20852 Phone: 301-801-5400
Dr. Joseph Gebeily, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15215 Shady Grove Road, Suite 203, Rockville, MD 20850 Phone: 301-500-0374 Fax: 301-560-5665
Jin Moon Kang, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15225 Shady Grove Rd, Suite 102, Rockville, MD 20850 Phone: 301-330-0661 Fax: 301-977-6940
Sayed Elsayyad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10110 Molecular Dr Ste 114, Rockville, MD 20850 Phone: 301-780-4745 Fax: 301-605-7550
Dr. Praveen Kumar Gupta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 West Edmonston Drive, #202, Rockville, MD 20852 Phone: 301-762-0788 Fax: 301-762-3130

Carissa Jean Ildefonso Vea, MD - Medicare Family Medicine in Rockville, MD