Mr Carlos Fagbenro, NP in Manassas, VA - Medicare Nurse Practitioner

Mr Carlos Fagbenro, NP is a medicare enrolled "Nurse Practitioner - Family" in Manassas, Virginia. His current practice location is 6360 Hoadly Rd, Manassas, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 594-9110.

Mr Carlos Fagbenro is licensed to practice in Virginia (license number 0024169586) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447528328.

Contact Information

	Mr Carlos Fagbenro, NP
	6360 Hoadly Rd, Manassas, VA 20112-3422
	(571) 594-9110
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Carlos Fagbenro
Gender	Male
Speciality	Nurse Practitioner - Family
Location	6360 Hoadly Rd, Manassas, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447528328
Provider Enumeration Date: 12/07/2011
Last Update Date: 01/27/2017

Medicare PECOS Information:

PECOS PAC ID: 8729249388
Enrollment ID: I20120409000611

Medical Identifiers

Medical identifiers for Mr Carlos Fagbenro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447528328	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024169586 (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. Mr Carlos Fagbenro allows following entities to bill medicare on his behalf.

Entity Name	Mednovations Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013402593 PECOS PAC ID: 8426308628 Enrollment ID: O20190807002877

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. Mr Carlos Fagbenro 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
Mr Carlos Fagbenro, NP 15337 Lord Culpeper Ct, Woodbridge, VA 22191-4937 Ph: (571) 594-9110	Mr Carlos Fagbenro, NP 6360 Hoadly Rd, Manassas, VA 20112-3422 Ph: (571) 594-9110

Reviews and Comments

Nurse Practitioner Nurses in Manassas, VA

Susan Brien Campbell, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 Fax: 703-396-5297
Shraddha Lamichhane, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10892 Caraway Cir, Manassas, VA 20109 Phone: 703-980-2783
Helen Karellas Bardis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9430 Forestwood Ln, Suite 100, Manassas, VA 20110 Phone: 703-365-0227
Shahnoza Mamatova, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 Godwin Dr, Manassas, VA 20110 Phone: 703-396-1064
Deepika Shrestha Rajbhandary, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6360 Hoadly Rd, Manassas, VA 20112 Phone: 703-897-4961
Christien Byun, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292
Shenise Seabrook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6909 Stethem Ct, Manassas, VA 20112 Phone: 843-452-9746

Mr Carlos Fagbenro, NP - Medicare Nurse Practitioner in Manassas, VA