Angela S Goodson-acevedo, in Chantilly, VA - Medicare Nurse Practitioner

Angela S Goodson-acevedo, is a medicare enrolled "Nurse Practitioner - Family" in Chantilly, Virginia. Her current practice location is 14121 Parke Long Ct, Chantilly, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 449-3585.

Angela S Goodson-acevedo is licensed to practice in Illinois (license number 209015423) 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 1245745967.

Contact Information

	Angela S Goodson-acevedo,
	14121 Parke Long Ct, Chantilly, VA 20151-1647
	(571) 449-3585
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela S Goodson-acevedo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14121 Parke Long Ct, Chantilly, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245745967
Provider Enumeration Date: 12/04/2017
Last Update Date: 05/08/2018

Medicare PECOS Information:

PECOS PAC ID: 3870856545
Enrollment ID: I20180410002453

Medical Identifiers

Medical identifiers for Angela S Goodson-acevedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245745967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209015423 (Illinois)	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. Angela S Goodson-acevedo allows following entities to bill medicare on her behalf.

Entity Name	The University Of Chicago Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198

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. Angela S Goodson-acevedo 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
Angela S Goodson-acevedo, 14121 Parke Long Ct, Chantilly, VA 20151-1647 Ph: (571) 449-3585	Angela S Goodson-acevedo, 14121 Parke Long Ct, Chantilly, VA 20151-1647 Ph: (571) 449-3585

Reviews and Comments

Nurse Practitioner Nurses in Chantilly, VA

Diana Spring, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151 Phone: 571-364-7110 Fax: 800-752-2471
Ms. Xin Wang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4213 Walney Rd, Chantilly, VA 20151 Phone: 703-383-8500
Hamdi Hagiyusuf, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14391 Chantilly Crossing Ln, Chantilly, VA 20151 Phone: 571-262-0021
Bindhu Aickareth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Ct, Chantilly, VA 20151 Phone: 281-827-7304
Victoria Ranti Balogun, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 Phone: 864-551-5536
Kadijatu Sesay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42979 Golf View Dr, Chantilly, VA 20152 Phone: 614-596-3596
Michelle Marie Dresback, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151 Phone: 855-247-1940

Angela S Goodson-acevedo, - Medicare Nurse Practitioner in Chantilly, VA