Millicent M Mutisya, in Fairfax, VA - Medicare Nurse Practitioner

Millicent M Mutisya, is a medicare enrolled "Nurse Practitioner" in Fairfax, Virginia. Her current practice location is 8613 Route 29 # 200n, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 350-8400.

Millicent M Mutisya is licensed to practice in Virginia (license number 0024180473) 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 1285308528.

Contact Information

	Millicent M Mutisya,
	8613 Route 29 # 200n, Fairfax, VA 22031-2171
	(571) 350-8400
	(703) 280-9596

Map and Direction

Provider's Profile

Full Name	Millicent M Mutisya
Gender	Female
Speciality	Nurse Practitioner
Location	8613 Route 29 # 200n, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285308528
Provider Enumeration Date: 08/02/2021
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9032517719
Enrollment ID: I20220815000984

Medical Identifiers

Medical identifiers for Millicent M Mutisya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285308528	NPI	-	NPPES
2H1702	Other	DC	MEDICARE PTAN
1285308528	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	0024180473 (Virginia)	Secondary
363L00000X	Nurse Practitioner	0024180473 (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. Millicent M Mutisya allows following entities to bill medicare on her behalf.

Entity Name	Virginia Cancer Specialists, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346294519 PECOS PAC ID: 2264412485 Enrollment ID: O20050628000817

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. Millicent M Mutisya 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
Millicent M Mutisya, 3040 Williams Dr Ste 100, Fairfax, VA 22031-4618 Ph: (571) 350-8400	Millicent M Mutisya, 8613 Route 29 # 200n, Fairfax, VA 22031-2171 Ph: (571) 350-8400

Reviews and Comments

Nurse Practitioner Nurses in Fairfax, VA

Lindsey Stanton, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10530 Rosehaven St Ste 100, Fairfax, VA 22030 Phone: 703-938-0363 Fax: 703-938-8653
Hala D Mata, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3053 Nutley St, Fairfax, VA 22031 Phone: 703-560-4852
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Jenni Jeanette Lorene Barnhizer, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3580 Joseph Siewick Dr Ste 205, Fairfax, VA 22033 Phone: 703-620-3211 Fax: 703-620-3215
Natalia Castro, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12817 Hamlet Hill Way, Fairfax, VA 22030 Phone: 703-963-9033
Erin Rudiak, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Route 29, Fairfax, VA 22031 Phone: 703-383-4836
Josephine Pangan Bolivar-kerns, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9299 Tower Side Dr Apt 438, Fairfax, VA 22031 Phone: 414-939-6346

Millicent M Mutisya, - Medicare Nurse Practitioner in Fairfax, VA