Jacqueline Diana Moore, MD - Medicare Vascular Surgery in Woodbridge, VA

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Jacqueline Diana Moore, MD is a medicare enrolled "Surgery" physician in Woodbridge, Virginia. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Privia Medical Group Llc, Centra Medical Group Llc and her current practice location is 2280 Opitz Blvd Ste 110, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 523-8860.

Jacqueline Diana Moore is licensed to practice in Virginia (license number 0101270338) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619173838.

Contact Information

Jacqueline Diana Moore, MD
2280 Opitz Blvd Ste 110,
Woodbridge, VA 22191-3362
(703) 523-8860
(855) 462-1102

Map and Direction




Physician's Profile

Full NameJacqueline Diana Moore
GenderFemale
SpecialityVascular Surgery
Experience17 Years
Location2280 Opitz Blvd Ste 110, Woodbridge, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Diana Moore graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1619173838
  • Provider Enumeration Date: 06/25/2007
  • Last Update Date: 08/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5395073670
  • Enrollment ID: I20200825000723

Medical Identifiers

Medical identifiers for Jacqueline Diana Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619173838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery S2120 (Texas)Secondary
208600000XSurgery 0101270338 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stonesprings Hospital CenterDulles, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Llc43856820611223
Centra Medical Group Llc4789606088636

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. Jacqueline Diana Moore allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameCentra Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

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. Jacqueline Diana Moore 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 AddressPractice Location Address
Jacqueline Diana Moore, MD
2280 Opitz Blvd Ste 110,
Woodbridge, VA 22191-3362

Ph: (703) 523-8860		Jacqueline Diana Moore, MD
2280 Opitz Blvd Ste 110,
Woodbridge, VA 22191-3362

Ph: (703) 523-8860

Reviews and Comments


Surgery Doctors in Woodbridge, VA

Dr. Rumbidzayi Nzara Mukurazhizha, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2280 Opitz Blvd Ste 110, Woodbridge, VA 22191
Phone: 703-523-9750    
Lindy Michelle Rosal, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2280 Opitz Blvd Ste 300, Woodbridge, VA 22191
Phone: 571-350-8400    Fax: 703-897-7938
Dr. Jeffrey Scott Sinclair, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2280 Opitz Blvd Ste 320, Woodbridge, VA 22191
Phone: 703-523-9750    Fax: 571-589-2001
Dr. Mauricio Dionisio Bas Jr., M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1970 Opitz Blvd, Woodbridge, VA 22191
Phone: 703-494-8174    Fax: 703-730-2155
Dr. Arthur Joseph Vayer Jr., M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2280 Opitz Blvd Ste 320, Woodbridge, VA 22191
Phone: 703-523-9750    Fax: 571-589-2001
Steven Nakao, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2296 Opitz Blvd, Ste 260, Woodbridge, VA 22191
Phone: 703-491-8058    Fax: 540-628-2322

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.