Kwanza Washington, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Eustis, Virginia. Her current practice location is
1160 5th St Unit B, Fort Eustis, Virginia. You can reach out to her office (for appointments etc.) via phone at
(706) 329-1329.
Kwanza Washington is licensed to practice in Virginia (license number 0024179542) 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 1215392964.
Physician's Profile
Full Name | Kwanza Washington |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1160 5th St Unit B, Fort Eustis, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215392964
- Provider Enumeration Date: 12/23/2015
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476831546
- Enrollment ID: I20161024002203
Medical Identifiers
Medical identifiers for Kwanza Washington such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215392964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 76506 (New Mexico) | Secondary |
363L00000X | Nurse Practitioner | 224319 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024179542 (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. Kwanza Washington allows following entities to bill medicare on her behalf.
Entity Name | App Of South Carolina Hm Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154848786 PECOS PAC ID: 1951669688 Enrollment ID: O20171229000452 |
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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. Kwanza Washington 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 |
Kwanza Washington, FNP-C 1160 5th St Unit B, Fort Eustis, VA 23604-0913 Ph: (706) 329-1329 | Kwanza Washington, FNP-C 1160 5th St Unit B, Fort Eustis, VA 23604-0913 Ph: (706) 329-1329 |
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