Gulnara Charipova, is a medicare enrolled "Nurse Practitioner - Family" physician in Reston, Virginia. Her current practice location is
1850 Town Center Pkwy Ste 412, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 689-9379.
Gulnara Charipova is licensed to practice in Virginia (license number 0024180533) 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 1225510027.
Physician's Profile
| Full Name | Gulnara Charipova |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1850 Town Center Pkwy Ste 412, 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: 1225510027
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 03/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284972175
- Enrollment ID: I20190219003320
Medical Identifiers
Medical identifiers for Gulnara Charipova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225510027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | AC002385 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024180533 (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. Gulnara Charipova allows following entities to bill medicare on her behalf.
| Entity Name | Specialty Physicians Of Northern Virginia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114157054
PECOS PAC ID: 6709923915
Enrollment ID: O20091021000043 |
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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. Gulnara Charipova 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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Gulnara Charipova,
20611 Duxbury Ter,
Ashburn, VA 20147-3251
Ph: (703) 407-3977 | Gulnara Charipova,
1850 Town Center Pkwy Ste 412,
Reston, VA 20190-3300
Ph: (703) 689-9379 |
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