Dr Jason Andrew Bonomo, MD, PHD in Fairfax, VA

Dr Jason Andrew Bonomo, MD, PHD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Fairfax, Virginia. His current practice location is 8081 Innovation Park Dr Ste 700, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 472-2900.

Dr Jason Andrew Bonomo is licensed to practice in Virginia (license number 0101274803) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649628306.

Contact Information

	Dr Jason Andrew Bonomo, MD, PHD
	8081 Innovation Park Dr Ste 700, Fairfax, VA 22031-4867
	(571) 472-2900
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jason Andrew Bonomo
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	8081 Innovation Park Dr Ste 700, 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: 1649628306
Provider Enumeration Date: 06/02/2016
Last Update Date: 10/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5698069151
Enrollment ID: I20221114000431

Medical Identifiers

Medical identifiers for Dr Jason Andrew Bonomo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649628306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101274803 (Virginia)	Secondary
208M00000X	Hospitalist	036.149207 (Illinois)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	0101274803 (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 Jason Andrew Bonomo allows following entities to bill medicare on his behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

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 Jason Andrew Bonomo 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 Jason Andrew Bonomo, MD, PHD Po Box 37174, Baltimore, MD 21297-3174 Ph: (571) 423-5699	Dr Jason Andrew Bonomo, MD, PHD 8081 Innovation Park Dr Ste 700, Fairfax, VA 22031-4867 Ph: (571) 472-2900

Reviews and Comments

Internal Medicine Doctors in Fairfax, VA

Shivangi Vachhani, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006
Dr. Raymund S Cuevo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241
Dr. Michael Maitland, M.D., PH.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601
Aswani Kumar Suthrave, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600
Nader H Balba, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794
Rona Harthill Earle, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153
Renee Elizabeth Funches, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5700

Dr Jason Andrew Bonomo, MD, PHD - Medicare Internal Medicine in Fairfax, VA