Dr Jerome Thomas O'connell Jr, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Woodbridge, Virginia. He went to Georgetown University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Gastroenterology Associates Of Northern Virginia, Llc, Potomac Urology Center, P.c. and his current practice location is
2300 Opitz Blvd, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 670-1835.
Dr Jerome Thomas O'connell Jr is licensed to practice in Virginia (license number 0101231713) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861516718.
Physician's Profile
Full Name | Dr Jerome Thomas O'connell Jr |
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Gender | Male |
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Speciality | Pathology |
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Experience | 29 Years |
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Location | 2300 Opitz Blvd, Woodbridge, Virginia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jerome Thomas O'connell Jr attended and graduated from Georgetown University School Of Medicine in 1995
NPI Data:
- NPI Number: 1861516718
- Provider Enumeration Date: 03/18/2007
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042403461
- Enrollment ID: I20101019000083
Medical Identifiers
Medical identifiers for Dr Jerome Thomas O'connell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861516718 | NPI | - | NPPES |
1861516718 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD32177 (District Of Columbia) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A63118 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | D0058140 (Maryland) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 0101231713 (Virginia) | Primary |
Medical Facilities Affiliation
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 Jerome Thomas O'connell Jr allows following entities to bill medicare on his behalf.
Entity Name | Loudoun Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
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Entity Name | Prince William Urology Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639229818 PECOS PAC ID: 8527092246 Enrollment ID: O20050922000419 |
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Entity Name | Potomac Urology Center, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861588592 PECOS PAC ID: 1557329406 Enrollment ID: O20070614000341 |
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Entity Name | Potomac Pathology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932424157 PECOS PAC ID: 8022283894 Enrollment ID: O20111206000196 |
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Entity Name | Advanced Digestive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629462171 PECOS PAC ID: 3375857725 Enrollment ID: O20150730010749 |
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Entity Name | Gastroenterology Associates Of Northern Virginia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205884368 PECOS PAC ID: 1759371008 Enrollment ID: O20170329002823 |
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Entity Name | Gastrointestinal Medicine Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063443802 PECOS PAC ID: 5395707665 Enrollment ID: O20200407002954 |
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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. Dr Jerome Thomas O'connell Jr 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 Jerome Thomas O'connell Jr, MD 224-d Cornwall Street, Nw, Suite 403, Department Of Pathology, Leesburg, VA 20176-2704 Ph: (703) 737-6010 | Dr Jerome Thomas O'connell Jr, MD 2300 Opitz Blvd, Woodbridge, VA 22191 Ph: (703) 670-1835 |
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