Samuel Mayo, FNP - Medicare Nurse Practitioner in Falls Church, VA

Samuel Mayo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Falls Church, Virginia. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Inova Health Care Services, Inova Health Care Services and his current practice location is 3300 Gallows Rd, Falls Church, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 776-4001.

Samuel Mayo is licensed to practice in Virginia (license number 0024180697) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1033769872.

Contact Information

Samuel Mayo, FNP
3300 Gallows Rd,
Falls Church, VA 22042-3307
(703) 776-4001
(703) 776-7113

Map and Direction




Provider's Profile

Full NameSamuel Mayo
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Mayo graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1033769872
  • Provider Enumeration Date: 09/13/2019
  • Last Update Date: 08/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0941604060
  • Enrollment ID: I20210811000634

Medical Identifiers

Medical identifiers for Samuel Mayo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033769872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN2312854 (Massachusetts)Secondary
363LF0000XNurse Practitioner - Family 0024180697 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fairfax HospitalFalls church, VAHospital
Inova Alexandria HospitalAlexandria, VAHospital
Inova Fair Oaks HospitalFairfax, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inova Health Care Services24663510931778
Inova Health Care Services24663510931778

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. Samuel Mayo allows following entities to bill medicare on his behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20080806000696
Entity NameInova Health Care Services
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1538870191
PECOS PAC ID: 2466351093
Enrollment ID: O20230130001570

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. Samuel Mayo 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 AddressPractice Location Address
Samuel Mayo, FNP
Po Box 37174,
Baltimore, MD 21297-3174

Ph: (571) 423-5699
Samuel Mayo, FNP
3300 Gallows Rd,
Falls Church, VA 22042-3307

Ph: (703) 776-4001

Reviews and Comments


Nurse Practitioner Nurses in Falls Church, VA

Mrs. Cheryl Anne Fraser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-776-4132    
Melissa Ann Mcclean, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Telestar Ct, Falls Church, VA 22042
Phone: 703-396-6194    Fax: 703-779-1372
Ms. Rebecca Timbo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2960 Sleepy Hollow Rd, Falls Church, VA 22044
Phone: 703-531-6120    
Deborah M Hincewicz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-776-7512    Fax: 703-776-3700
Kellyn Patricia Dodd, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6400 Arlington Blvd Suite 920, Falls Church, VA 22042
Phone: 703-241-2664    Fax: 703-241-5559
Melissa Tremblay Eatherly, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-776-4001    
Ms. Jami Stehlin, DNP, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 310-880-2609    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.