Mrs Jessica Fantazos, PA-C in Woodbridge, VA - Medicare Physician Assistant

Mrs Jessica Fantazos, PA-C is a medicare enrolled "Physician Assistant - Medical" in Woodbridge, Virginia. Her current practice location is 14904 Jefferson Davis Hwy, Suite 103, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 497-4222.

Mrs Jessica Fantazos is licensed to practice in Virginia (license number 0110002900) 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 1558673350.

Contact Information

	Mrs Jessica Fantazos, PA-C
	14904 Jefferson Davis Hwy, Suite 103, Woodbridge, VA 22191-3908
	(703) 497-4222
	(703) 492-0164

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Fantazos
Gender	Female
Speciality	Physician Assistant - Medical
Location	14904 Jefferson Davis Hwy, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558673350
Provider Enumeration Date: 07/08/2010
Last Update Date: 07/08/2010

Medicare PECOS Information:

PECOS PAC ID: 9537328224
Enrollment ID: I20120315000897

Medical Identifiers

Medical identifiers for Mrs Jessica Fantazos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558673350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0110002900 (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. Mrs Jessica Fantazos 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
Mrs Jessica Fantazos, PA-C 14904 Jefferson Davis Hwy, Suite 103, Woodbridge, VA 22191-3908 Ph: (703) 497-4222	Mrs Jessica Fantazos, PA-C 14904 Jefferson Davis Hwy, Suite 103, Woodbridge, VA 22191-3908 Ph: (703) 497-4222

Reviews and Comments

Physician Assistant Nurses in Woodbridge, VA

Christopher Rowley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14900 Potomac Town Pl Ste 110, Woodbridge, VA 22191 Phone: 540-351-0662
Melissa Haug, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14605 Potomac Branch Dr Ste 300, Woodbridge, VA 22191 Phone: 703-490-1112
Cassandra J Vazquez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Katherine D Lyons, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14348 Gideon Dr, Woodbridge, VA 22192 Phone: 703-490-1112 Fax: 703-878-8732
Tairy Adams Johnson, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1504
Alexa Roberge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2200 Opitz Blvd Ste 100, Woodbridge, VA 22191 Phone: 703-492-4140
Jianing Zhang Chaney, PH.D, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14000 Crown Ct Ste 201, Woodbridge, VA 22193 Phone: 703-499-8787

Mrs Jessica Fantazos, PA-C - Medicare Physician Assistant in Woodbridge, VA