Jacqueline S Eghrari-sabet, MD is a medicare enrolled "Allergy & Immunology" physician in Vienna, Virginia. Her current practice location is
8320 Old Courthouse Rd, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 403-5413.
Jacqueline S Eghrari-sabet is licensed to practice in Maryland (license number D44244) 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 1295770998.
Physician's Profile
| Full Name | Jacqueline S Eghrari-sabet |
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| Gender | Female |
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| Speciality | Allergy & Immunology |
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| Location | 8320 Old Courthouse Rd, Vienna, 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: 1295770998
- Provider Enumeration Date: 06/17/2006
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880632736
- Enrollment ID: I20050504000227
Medical Identifiers
Medical identifiers for Jacqueline S Eghrari-sabet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295770998 | NPI | - | NPPES |
| 1295770998 | Other | | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | D44244 (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. Jacqueline S Eghrari-sabet allows following entities to bill medicare on her behalf.
| Entity Name | Kaufman Allergy Asthma And Immunology, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922610682
PECOS PAC ID: 5092126789
Enrollment ID: O20201202000523 |
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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. Jacqueline S Eghrari-sabet 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 |
|---|
Jacqueline S Eghrari-sabet, MD
6511 Topeka Rd,
Mc Lean, VA 22101-4023
Ph: () - | Jacqueline S Eghrari-sabet, MD
8320 Old Courthouse Rd,
Vienna, VA 22182-3831
Ph: (703) 403-5413 |
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