Mrs Jennifer Bischoff Pedicano, MD | |
100 Elden St Ste 10, Herndon, VA 20170-4833 | |
(703) 689-2000 | |
(703) 478-6612 |
Full Name | Mrs Jennifer Bischoff Pedicano |
---|---|
Gender | Female |
Speciality | Allergy & Immunology |
Location | 100 Elden St Ste 10, Herndon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568638229 | NPI | - | NPPES |
1568638229 | Medicaid | VA | |
6M5932 | Other | VA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 0101246807 (Virginia) | Primary |
Entity Name | Medical Faculty Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Allergy Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780053587 PECOS PAC ID: 7113822420 Enrollment ID: O20151023001243 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Bischoff Pedicano, MD Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Mrs Jennifer Bischoff Pedicano, MD 100 Elden St Ste 10, Herndon, VA 20170-4833 Ph: (703) 689-2000 |
Ngoc Vu, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 100 Elden St, Ste 10, Herndon, VA 20170 Phone: 703-689-2000 Fax: 703-478-6612 | |
Donna Lynn Schuster, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 100 Elden St, Ste 10, Herndon, VA 20170 Phone: 703-689-2000 Fax: 703-478-6612 |