Kellyn Patricia Dodd, APRN is a medicare enrolled "Family Medicine" in Falls Church, Virginia. Her current practice location is
6400 Arlington Blvd Suite 920, Falls Church, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 241-2664.
Kellyn Patricia Dodd is licensed to practice in Virginia (license number 24176021) 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 1013360940.
Provider's Profile
| Full Name | Kellyn Patricia Dodd |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 6400 Arlington Blvd Suite 920, Falls Church, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013360940
- Provider Enumeration Date: 07/15/2016
- Last Update Date: 11/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820366966
- Enrollment ID: I20180703002230
Medical Identifiers
Medical identifiers for Kellyn Patricia Dodd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013360940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 068318-23 (New Hampshire) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024176021 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 24176021 (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. Kellyn Patricia Dodd allows following entities to bill medicare on her behalf.
| Entity Name | Privia Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298 |
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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. Kellyn Patricia Dodd 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 |
|---|
Kellyn Patricia Dodd, APRN
6400 Arlington Blvd Suite 920,
Falls Church, VA 22042
Ph: (703) 241-2664 | Kellyn Patricia Dodd, APRN
6400 Arlington Blvd Suite 920,
Falls Church, VA 22042
Ph: (703) 241-2664 |
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