Quynh Tran-crockett, NP is a medicare enrolled "Licensed Practical Nurse" in Leesburg, Virginia. Her current practice location is
44055 Riverside Pkwy # 20176, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 858-8600.
Quynh Tran-crockett is licensed to practice in Virginia (license number 0024185184) 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 1679298301.
Provider's Profile
| Full Name | Quynh Tran-crockett |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 44055 Riverside Pkwy # 20176, Leesburg, 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: 1679298301
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 10/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810360930
- Enrollment ID: I20230309003007
Medical Identifiers
Medical identifiers for Quynh Tran-crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679298301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 164W00000X | Licensed Practical Nurse | 0024185184 (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. Quynh Tran-crockett allows following entities to bill medicare on her behalf.
| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20080806000696 |
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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. Quynh Tran-crockett 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 |
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Quynh Tran-crockett, NP
6371 Fenestra Ct,
Burke, VA 22015-3543
Ph: () - | Quynh Tran-crockett, NP
44055 Riverside Pkwy # 20176,
Leesburg, VA 20176-5179
Ph: (703) 858-8600 |
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