Dr Amanda Derwae, MD in Fairfax, VA

Dr Amanda Derwae, MD is a medicare enrolled "Dermatology" physician in Fairfax, Virginia. Her current practice location is 10680 Main St Ste 200, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 352-2620.

Dr Amanda Derwae is licensed to practice in Virginia (license number 0101280445) 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 1164796942.

Contact Information

	Dr Amanda Derwae, MD
	10680 Main St Ste 200, Fairfax, VA 22030-3810
	(703) 352-2620
	(703) 352-2620

Map and Direction

Physician's Profile

Full Name	Dr Amanda Derwae
Gender	Female
Speciality	Dermatology
Location	10680 Main St Ste 200, 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: 1164796942
Provider Enumeration Date: 02/27/2012
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7416277710
Enrollment ID: I20240423002174

Medical Identifiers

Medical identifiers for Dr Amanda Derwae such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164796942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	27508 (Nebraska)	Secondary
207N00000X	Dermatology	0101280445 (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. Dr Amanda Derwae allows following entities to bill medicare on her behalf.

Entity Name	Integrated Dermatology Of Fairfax Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861890303 PECOS PAC ID: 6103144753 Enrollment ID: O20150413000708

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. Dr Amanda Derwae 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
Dr Amanda Derwae, MD 10680 Main St Ste 200, Fairfax, VA 22030-3810 Ph: (703) 352-2620	Dr Amanda Derwae, MD 10680 Main St Ste 200, Fairfax, VA 22030-3810 Ph: (703) 352-2620

Reviews and Comments

Dermatology Doctors in Fairfax, VA

Benjamin Behnoud Nia, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 302, Fairfax, VA 22033 Phone: 703-648-2488 Fax: 703-648-2489
Dr. Caleb Lee, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10100 Fairfax Blvd, Fairfax, VA 22030 Phone: 703-679-1876
Dr. Monica Nabil Saleh Valentin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11351 Random Hills Rd, Fairfax, VA 22030 Phone: 443-351-3376
Dr. Kavya Desai, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085
Dr. Kathleen Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085
Etsubdenk Mezemir Ajebo, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4211 Fairfax Corner Ave E # E, Fairfax, VA 22030 Phone: 703-280-1372
Jack Michael Costa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033 Phone: 703-391-2516 Fax: 703-476-8244

Dr Amanda Derwae, MD - Medicare Dermatology in Fairfax, VA