Theresa B Shupe, MD - Medicare Family Practice in Gainesville, VA

Theresa B Shupe, MD is a medicare enrolled "Family Medicine" physician in Gainesville, Virginia. She went to George Washington University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Privia Medical Group Llc and her current practice location is 14535 John Marshall Highway, Suite #105, Gainesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 754-0425.

Theresa B Shupe is licensed to practice in Virginia (license number 0101058775) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902806474.

Contact Information

Theresa B Shupe, MD
14535 John Marshall Highway, Suite #105,
Gainesville, VA 20155
(703) 754-0425
(703) 754-2888

Map and Direction




Physician's Profile

Full NameTheresa B Shupe
GenderFemale
SpecialityFamily Practice
Experience34 Years
Location14535 John Marshall Highway, Gainesville, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa B Shupe attended and graduated from George Washington University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1902806474
  • Provider Enumeration Date: 07/27/2005
  • Last Update Date: 11/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6709889231
  • Enrollment ID: I20060822000537

Medical Identifiers

Medical identifiers for Theresa B Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902806474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101058776 (Virginia)Secondary
207Q00000XFamily Medicine 0101058775 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home Health Herndon, VAHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Llc43856820611223

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. Theresa B Shupe allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140603000011

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. Theresa B Shupe 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 AddressPractice Location Address
Theresa B Shupe, MD
14535 John Marshall Highway, Suite #105,
Gainesville, VA 20155

Ph: (703) 754-0425
Theresa B Shupe, MD
14535 John Marshall Highway, Suite #105,
Gainesville, VA 20155

Ph: (703) 754-0425

Reviews and Comments


Family Medicine Doctors in Gainesville, VA

Anum Hasan, DO
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Phone: 571-248-4620    Fax: 571-248-4374
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Dr. Jason Vanvliet Hackett, M.D.
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Jocelyn Patricia Tan Serrano, M.D.
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Practice Location: 13575 Heathcote Blvd Ste 210, Gainesville, VA 20155
Phone: 571-248-4620    Fax: 571-248-4374
Dr. Victoria C Hammonds, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 8180 Stonewall Shops Sq, Gainesville, VA 20155
Phone: 703-753-9799    Fax: 703-753-9792
Dr. Chung Y Woo, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 14800 Lee Hwy, Gainesville, VA 20155
Phone: 703-743-7017    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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