Nardos Mitiku Zeleke, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Woodbridge, Virginia. Her current practice location is
2296 Opitz Blvd Ste 130, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 523-0660.
Nardos Mitiku Zeleke is licensed to practice in Virginia (license number 0024184243) 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 1427787902.
Physician's Profile
| Full Name | Nardos Mitiku Zeleke |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 2296 Opitz Blvd Ste 130, Woodbridge, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1427787902
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 09/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436508520
- Enrollment ID: I20231214002675
Medical Identifiers
Medical identifiers for Nardos Mitiku Zeleke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427787902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0024184243 (Virginia) | Secondary |
| 363L00000X | Nurse Practitioner | 0024184243 (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. Nardos Mitiku Zeleke allows following entities to bill medicare on her behalf.
| Entity Name | Sentara Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466 |
|---|
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. Nardos Mitiku Zeleke 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 |
|---|
Nardos Mitiku Zeleke, FNP-C
11 Gray Birch Ln,
Stafford, VA 22554-6837
Ph: () - | Nardos Mitiku Zeleke, FNP-C
2296 Opitz Blvd Ste 130,
Woodbridge, VA 22191-3344
Ph: (703) 523-0660 |
Reviews and Comments