Geetanjali Jain, MSN, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Reston, Virginia. Her current practice location is
11800 Sunrise Valley Dr Ste 700, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 834-1473.
Geetanjali Jain is licensed to practice in Virginia (license number 0024179589) 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 1124653589.
Physician's Profile
| Full Name | Geetanjali Jain |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 11800 Sunrise Valley Dr Ste 700, Reston, 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: 1124653589
- Provider Enumeration Date: 03/05/2020
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052716362
- Enrollment ID: I20210825001733
Medical Identifiers
Medical identifiers for Geetanjali Jain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124653589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 0024179589 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024179589 (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. Geetanjali Jain allows following entities to bill medicare on her behalf.
| Entity Name | Tgvpc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093838740
PECOS PAC ID: 8224198122
Enrollment ID: O20081121000675 |
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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. Geetanjali Jain 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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Geetanjali Jain, MSN, DNP, FNP-BC
Po Box 37174,
Baltimore, MD 21297-3174
Ph: (571) 423-5699 | Geetanjali Jain, MSN, DNP, FNP-BC
11800 Sunrise Valley Dr Ste 700,
Reston, VA 20191-5315
Ph: (703) 834-1473 |
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