Rahib Mansoor Poonawala, MD is a medicare enrolled "Family Medicine" physician in Broadlands, Virginia. He went to University Of Virginia School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Loudoun Medical Group, Pc and his current practice location is
43300 Southern Walk Plaza, Suite 100, Broadlands, Virginia. You can reach out to his office (for appointments etc.) via phone at
(571) 252-7353.
Rahib Mansoor Poonawala is licensed to practice in Virginia (license number 0101234539) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578522017.
Physician's Profile
| Full Name | Rahib Mansoor Poonawala |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 43300 Southern Walk Plaza, Suite 100, Broadlands, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rahib Mansoor Poonawala attended and graduated from University Of Virginia School Of Medicine in 2000
NPI Data:
- NPI Number: 1578522017
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234038811
- Enrollment ID: I20061020000164
Medical Identifiers
Medical identifiers for Rahib Mansoor Poonawala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578522017 | NPI | - | NPPES |
| 30015384640001 | Medicaid | VA | |
| 010275326 | Medicaid | VA | |
| 010275318 | Medicaid | VA | |
| 1578522017 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0101234539 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Loudoun Medical Group, Pc | 0042119661 | 288 |
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. Rahib Mansoor Poonawala allows following entities to bill medicare on his behalf.
| Entity Name | Loudoun Medical Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679591440
PECOS PAC ID: 0042119661
Enrollment ID: O20041115000474 |
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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. Rahib Mansoor Poonawala 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 |
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Rahib Mansoor Poonawala, MD
224 D Cornwall Street Nw, Ste 403,
Leesburg, VA 20176-2704
Ph: (703) 737-6010 | Rahib Mansoor Poonawala, MD
43300 Southern Walk Plaza, Suite 100,
Broadlands, VA 20148-4463
Ph: (571) 252-7353 |
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