Divya Bansal, PA-C is a medicare enrolled "Physician Assistant" in Lorton, Virginia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Medstar Medical Group Ii Llc, Whc Physician Group Llc, Medstar Medical Group Ii Llc and her current practice location is
8988 Lorton Station Blvd, Suite 202, Lorton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 372-2280.
Divya Bansal is licensed to practice in Virginia (license number 0110004272) 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 1407295215.
Provider's Profile
| Full Name | Divya Bansal |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 8988 Lorton Station Blvd, Suite 202, Lorton, Virginia |
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| Accepts Medicare Assignments | Yes. She 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:
- Divya Bansal graduated from nursing school in 2013
NPI Data:
- NPI Number: 1407295215
- Provider Enumeration Date: 06/14/2013
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638311194
- Enrollment ID: I20130813000089
Medical Identifiers
Medical identifiers for Divya Bansal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407295215 | NPI | - | NPPES |
| 30016833620001 | Medicaid | VA | |
| 1407295215 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA031036 (District Of Columbia) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 0110-004272 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110004272 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medstar Medical Group Ii Llc | 0547413825 | 1790 |
| Whc Physician Group Llc | 6103093513 | 316 |
| Medstar Medical Group Ii Llc | 0547413825 | 1790 |
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. Divya Bansal 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 |
|---|
Divya Bansal, PA-C
224-d Cornwall Street Nw, Suite 204, Suite 403,
Leesburg, VA 20176-2704
Ph: (703) 737-6010 | Divya Bansal, PA-C
8988 Lorton Station Blvd, Suite 202,
Lorton, VA 22079-4758
Ph: (703) 372-2280 |
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