Freidrich Datu Anselmo, MD in Fairfax, VA

Freidrich Datu Anselmo, MD is a medicare enrolled "Dermatology" physician in Fairfax, Virginia. His current practice location is 3025 Hamaker Ct Ste 340, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 849-8036.

Freidrich Datu Anselmo is licensed to practice in Virginia (license number 0101279799) 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 1215565965.

Contact Information

	Freidrich Datu Anselmo, MD
	3025 Hamaker Ct Ste 340, Fairfax, VA 22031-2237
	(703) 849-8036
	(703) 204-3448

Map and Direction

Physician's Profile

Full Name	Freidrich Datu Anselmo
Gender	Male
Speciality	Dermatology
Location	3025 Hamaker Ct Ste 340, 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: 1215565965
Provider Enumeration Date: 03/30/2020
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0042615775
Enrollment ID: I20240507002367

Medical Identifiers

Medical identifiers for Freidrich Datu Anselmo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215565965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	0101279799 (Virginia)	Primary

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. Freidrich Datu Anselmo 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
Freidrich Datu Anselmo, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Freidrich Datu Anselmo, MD 3025 Hamaker Ct Ste 340, Fairfax, VA 22031-2237 Ph: (703) 849-8036

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
Etsubdenk Mezemir Ajebo, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4211 Fairfax Corner Ave E # E, Fairfax, VA 22030 Phone: 703-280-1372
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

Freidrich Datu Anselmo, MD - Medicare Dermatology in Fairfax, VA