Mrs Jennifer Youngen, PT is a medicare enrolled "Physical Therapist" provider in Clifton, Virginia. Her current practice location is
12642 Chapel Rd, Clifton, Virginia. You can reach out to her office (for appointments etc.) via phone at
(571) 563-8976.
Mrs Jennifer Youngen is licensed to practice in Virginia (license number 2305006688) 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 1649473984.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Youngen |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 12642 Chapel Rd, Clifton, 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: 1649473984
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 12/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628011913
- Enrollment ID: I20050607001385
Medical Identifiers
Medical identifiers for Mrs Jennifer Youngen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649473984 | NPI | - | NPPES |
| 2130582 | Other | | MAMSI |
| 196835 | Other | VA | ANTHEM |
| 7727306 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 2305006688 (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. Mrs Jennifer Youngen allows following entities to bill medicare on her behalf.
| Provider Name | Primus Physical Therapy |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1871959726
PECOS PAC ID: 4789981564
Enrollment ID: O20160322000894 |
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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. Mrs Jennifer Youngen 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 Jennifer Youngen, PT
11818 Clara Way,
Fairfax Station, VA 22039-1104
Ph: (703) 898-3049 | Mrs Jennifer Youngen, PT
12642 Chapel Rd,
Clifton, VA 20124-1953
Ph: (571) 563-8976 |
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