Mrs Rosy Gautam, is a medicare enrolled "Nurse Practitioner - Family" physician in Falls Church, Virginia. Her current practice location is
2901 Telestar Ct Ste 200, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 573-3494.
Mrs Rosy Gautam is licensed to practice in Virginia (license number 0024180585) 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 1376209742.
Physician's Profile
Full Name | Mrs Rosy Gautam |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2901 Telestar Ct Ste 200, Falls Church, 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: 1376209742
- Provider Enumeration Date: 11/10/2021
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931571379
- Enrollment ID: I20230210000967
Medical Identifiers
Medical identifiers for Mrs Rosy Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376209742 | NPI | - | NPPES |
0024180585 | Other | VA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 0024180585 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024180585 (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. Mrs Rosy Gautam allows following entities to bill medicare on her behalf.
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696 |
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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. Mrs Rosy Gautam 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 |
Mrs Rosy Gautam, 6760 Joseph Edgar Ct, Alexandria, VA 22310-2667 Ph: (703) 217-4382 | Mrs Rosy Gautam, 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 Ph: (703) 573-3494 |
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