Ednan Mushtaq, MD is a medicare enrolled "Otolaryngology" physician in Mclean, Virginia. He went to Medical College Of Wisconsin and graduated in 1989 and has 35 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Privia Medical Group Llc, Privia Medical Group Llc and his current practice location is
6845 Elm Street, Suite 303, Mclean, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 448-0005.
Ednan Mushtaq is licensed to practice in Virginia (license number 0101055447) 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 1639129091.
Physician's Profile
Full Name | Ednan Mushtaq |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 35 Years |
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Location | 6845 Elm Street, Mclean, 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:
- Ednan Mushtaq attended and graduated from Medical College Of Wisconsin in 1989
NPI Data:
- NPI Number: 1639129091
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 08/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830247238
- Enrollment ID: I20090423000048
Medical Identifiers
Medical identifiers for Ednan Mushtaq such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639129091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 0101055447 (Virginia) | Secondary |
207Y00000X | Otolaryngology | 0101055447 (Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Privia Medical Group Llc | 4385682061 | 1223 |
Privia Medical Group Llc | 4385682061 | 1223 |
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. Ednan Mushtaq allows following entities to bill medicare on his behalf.
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
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Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
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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. Ednan Mushtaq 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 |
Ednan Mushtaq, MD 6845 Elm Street, Suite 303, Mclean, VA 22101 Ph: (703) 448-0005 | Ednan Mushtaq, MD 6845 Elm Street, Suite 303, Mclean, VA 22101 Ph: (703) 448-0005 |
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