Imari Jeanine Heavens, PT,DPT in Woodbridge, VA - Medicare Physical Therapist Provider

Imari Jeanine Heavens, PT,DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Woodbridge, Virginia. Her current practice location is 12731 Marblestone Dr Ste 202, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 659-2612.

Imari Jeanine Heavens is licensed to practice in * (Not Available) (license number ) 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 1043987795.

Contact Information

	Imari Jeanine Heavens, PT,DPT
	12731 Marblestone Dr Ste 202, Woodbridge, VA 22192-8334
	(571) 659-2612
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Imari Jeanine Heavens
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	12731 Marblestone Dr Ste 202, 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: 1043987795
Provider Enumeration Date: 08/30/2021
Last Update Date: 08/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2860876505
Enrollment ID: I20220830003158

Medical Identifiers

Medical identifiers for Imari Jeanine Heavens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043987795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	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. Imari Jeanine Heavens allows following entities to bill medicare on her behalf.

Provider Name	Virginia Luna Care Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210215000240

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. Imari Jeanine Heavens 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
Imari Jeanine Heavens, PT,DPT 12731 Marblestone Dr Ste 202, Woodbridge, VA 22192-8334 Ph: (571) 659-2612	Imari Jeanine Heavens, PT,DPT 12731 Marblestone Dr Ste 202, Woodbridge, VA 22192-8334 Ph: (571) 659-2612

Reviews and Comments

Physical Therapist in Woodbridge, VA

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Imari Jeanine Heavens, PT,DPT - Medicare Physical Therapist in Woodbridge, VA