Etsubdenk Mezemir Ajebo, MD in Fairfax, VA

Etsubdenk Mezemir Ajebo, MD is a medicare enrolled "Dermatology" physician in Fairfax, Virginia. Her current practice location is 4211 Fairfax Corner Ave E # E, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 280-1372.

Etsubdenk Mezemir Ajebo is licensed to practice in Maryland (license number 7730D97154) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134788532.

Contact Information

	Etsubdenk Mezemir Ajebo, MD
	4211 Fairfax Corner Ave E # E, Fairfax, VA 22030-8622
	(703) 280-1372
	Not Available

Map and Direction

Physician's Profile

Full Name	Etsubdenk Mezemir Ajebo
Gender	Female
Speciality	Dermatology
Location	4211 Fairfax Corner Ave E # E, 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: 1134788532
Provider Enumeration Date: 06/10/2019
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 8527393529
Enrollment ID: I20230818000283

Medical Identifiers

Medical identifiers for Etsubdenk Mezemir Ajebo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134788532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	7730D97154 (Maryland)	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. Etsubdenk Mezemir Ajebo allows following entities to bill medicare on her behalf.

Entity Name	Whc Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700154226 PECOS PAC ID: 6103093513 Enrollment ID: O20140711000014

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. Etsubdenk Mezemir Ajebo 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
Etsubdenk Mezemir Ajebo, MD 4211 Fairfax Corner Ave E # E, Fairfax, VA 22030-8622 Ph: (703) 280-1372	Etsubdenk Mezemir Ajebo, MD 4211 Fairfax Corner Ave E # E, Fairfax, VA 22030-8622 Ph: (703) 280-1372

Reviews and Comments

Dermatology Doctors in Fairfax, VA

Benjamin Behnoud Nia, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 302, Fairfax, VA 22033 Phone: 703-648-2488 Fax: 703-648-2489
Dr. Caleb Lee, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10100 Fairfax Blvd, Fairfax, VA 22030 Phone: 703-679-1876
Dr. Monica Nabil Saleh Valentin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11351 Random Hills Rd, Fairfax, VA 22030 Phone: 443-351-3376
Dr. Kavya Desai, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085
Dr. Kathleen Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8316 Arlington Blvd Ste 400, Fairfax, VA 22031 Phone: 703-641-0083 Fax: 703-641-0085
Jack Michael Costa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3650 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033 Phone: 703-391-2516 Fax: 703-476-8244

Etsubdenk Mezemir Ajebo, MD - Medicare Dermatology in Fairfax, VA