Mahtab Mollajafar, is a medicare enrolled "Physician Assistant" in Fairfax Station, Virginia. Her current practice location is
8212 Roseland Dr, Fairfax Station, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 507-9266.
Mahtab Mollajafar is licensed to practice in Virginia (license number 0110007682) 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 1659836799.
Provider's Profile
Full Name | Mahtab Mollajafar |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 8212 Roseland Dr, Fairfax Station, Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659836799
- Provider Enumeration Date: 02/03/2019
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 7719361906
- Enrollment ID: I20220907003682
Medical Identifiers
Medical identifiers for Mahtab Mollajafar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659836799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0110007682 (Virginia) | Primary |
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. Mahtab Mollajafar 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 |
Mahtab Mollajafar, 8212 Roseland Dr, Fairfax Station, VA 22039-2534 Ph: () - | Mahtab Mollajafar, 8212 Roseland Dr, Fairfax Station, VA 22039-2534 Ph: (703) 507-9266 |
Reviews and Comments