Dr Jeylani Gregory Dublin, PT, DPT, CSCS is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lansdowne, Virginia. His current practice location is
19455 Deerfield Ave, Lansdowne, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 729-5010.
Dr Jeylani Gregory Dublin is licensed to practice in Virginia (license number 2305212359) 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 1841774601.
Physician's Profile
| Full Name | Dr Jeylani Gregory Dublin |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 19455 Deerfield Ave, Lansdowne, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841774601
- Provider Enumeration Date: 09/18/2018
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113357534
- Enrollment ID: I20200424002215
Medical Identifiers
Medical identifiers for Dr Jeylani Gregory Dublin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841774601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 2305212359 (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 Jeylani Gregory Dublin allows following entities to bill medicare on his behalf.
| Entity Name | Thrive Integrative Physical Therapy And Sports Rehab Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1053956631
PECOS PAC ID: 1456785435
Enrollment ID: O20191227001836 |
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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 Jeylani Gregory Dublin 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 |
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Dr Jeylani Gregory Dublin, PT, DPT, CSCS
2938 Packer St,
Winchester, VA 22601-3424
Ph: (917) 741-7067 | Dr Jeylani Gregory Dublin, PT, DPT, CSCS
19455 Deerfield Ave,
Lansdowne, VA 20176-8100
Ph: (703) 729-5010 |
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