Dr John William Brady Jr, MD is a medicare enrolled "Dermatology" physician in Manassas, Virginia. His current practice location is
8650 Sudley Road, Suite 310, Manassas, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 369-3376.
Dr John William Brady Jr is licensed to practice in Virginia (license number 0101019666) 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 1801888474.
Physician's Profile
| Full Name | Dr John William Brady Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 8650 Sudley Road, Manassas, 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: 1801888474
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557388386
- Enrollment ID: I20080930000225
Medical Identifiers
Medical identifiers for Dr John William Brady Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801888474 | NPI | - | NPPES |
| 0101019666 | Other | VA | MEDICAL LICENSE NUMBER |
| 00X776J01 | Other | | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 0101019666 (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 John William Brady Jr allows following entities to bill medicare on his behalf.
| Entity Name | Renewal Dermatology & Medspa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619232469
PECOS PAC ID: 8527216993
Enrollment ID: O20120911000164 |
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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 John William Brady 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 John William Brady Jr, MD
8650 Sudley Road, Suite 310,
Manassas, VA 20110-4416
Ph: (703) 369-3376 | Dr John William Brady Jr, MD
8650 Sudley Road, Suite 310,
Manassas, VA 20110-4416
Ph: (703) 369-3376 |
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