Susan Fazilat, in Fairfax, VA - Medicare Nurse Practitioner

Susan Fazilat, is a medicare enrolled "Nurse Practitioner - Adult Health" in Fairfax, Virginia. Her current practice location is 8505 Arlington Blvd, Suite 330, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 645-2234.

Susan Fazilat is licensed to practice in Virginia (license number 0024173773) 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 1437602323.

Contact Information

	Susan Fazilat,
	8505 Arlington Blvd, Suite 330, Fairfax, VA 22031-4621
	(703) 645-2234
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan Fazilat
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	8505 Arlington Blvd, 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: 1437602323
Provider Enumeration Date: 07/27/2016
Last Update Date: 11/01/2016

Medicare PECOS Information:

PECOS PAC ID: 4385922772
Enrollment ID: I20161107001392

Medical Identifiers

Medical identifiers for Susan Fazilat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437602323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	0024173773 (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. Susan Fazilat allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298

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. Susan Fazilat 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
Susan Fazilat, 8505 Arlington Blvd, Suite 330, Fairfax, VA 22031-4621 Ph: () -	Susan Fazilat, 8505 Arlington Blvd, Suite 330, Fairfax, VA 22031-4621 Ph: (703) 645-2234

Reviews and Comments

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Susan Fazilat, - Medicare Nurse Practitioner in Fairfax, VA