- Medicare Primary Care in Ashburn, VA

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is a medicare enrolled primary clinic (Family Medicine) in Ashburn, Virginia. The current practice location for is 43670 Greeway Corporate Drive, Suite 122, Ashburn, Virginia. For appointments, you can reach them via phone at (800) 762-6282. The mailing address for is 9755 Patuxent Woods Dr Ste 100, Columbia, Maryland and phone number is (800) 762-6282.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356077697. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (800) 762-6282.

Contact Information

43670 Greeway Corporate Drive
Suite 122
Ashburn
VA 20147-2104
(800) 762-6282
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location43670 Greeway Corporate Drive, Ashburn, Virginia
Authorized Official Name and PositionTammy Muir (COMPLIANCE OFFICER)
Authorized Official Contact4109105959
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

9755 Patuxent Woods Dr Ste 100
Columbia
MD 21046-2288

Ph: (800) 762-6282
43670 Greeway Corporate Drive
Suite 122
Ashburn
VA 20147-2104

Ph: (800) 762-6282

NPI Details:

NPI Number1356077697
Provider Enumeration Date07/28/2022
Last Update Date12/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7517366149
Medicare Enrollment IDO20221228000367

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356077697NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameIlya Rabkin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760822324
PECOS PAC ID: 9335360288
Enrollment ID: I20181203003264
Provider NameNarayana Pennington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275200263
PECOS PAC ID: 1951791912
Enrollment ID: I20211206001790
Provider NameJennifer Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700868320
PECOS PAC ID: 0749679561
Enrollment ID: I20230111002426
Provider NameCarl Lord
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063462349
PECOS PAC ID: 1759447311
Enrollment ID: I20230227001941
Provider NamePaulina Andrea Dubov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194429936
PECOS PAC ID: 4082059076
Enrollment ID: I20240717004978
Provider NameMaria Montenegro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003320359
PECOS PAC ID: 8527329119
Enrollment ID: I20240729001354
Provider NameSadia Ali
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417395971
PECOS PAC ID: 6709019847
Enrollment ID: I20240813000766
Provider NameAshley Beccaloni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285227355
PECOS PAC ID: 7416350905
Enrollment ID: I20240912000742
Provider NameSamantha Powers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790397263
PECOS PAC ID: 5193187706
Enrollment ID: I20240912003576
Provider NameViridiana Fuentes Rosales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407530942
PECOS PAC ID: 5395286991
Enrollment ID: I20240926003575
Provider NameAnnie Ressalam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922392752
PECOS PAC ID: 4284933169
Enrollment ID: I20241004000493
Provider NameSoraya Salehi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235830845
PECOS PAC ID: 7517316763
Enrollment ID: I20241016000042
Provider NameShreya Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033798012
PECOS PAC ID: 5496163164
Enrollment ID: I20241023004268
Provider NameSamantha Suller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962975474
PECOS PAC ID: 3476892944
Enrollment ID: I20241104003269
Provider NameCarolyn Cerswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437889623
PECOS PAC ID: 9032576582
Enrollment ID: I20241105000638
Provider NameGarrett Peed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699497057
PECOS PAC ID: 9032586219
Enrollment ID: I20241108000278
Provider NameMichelle Kavall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396500807
PECOS PAC ID: 9032656327
Enrollment ID: I20241118002925
Provider NameAllison Crane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144480823
PECOS PAC ID: 6204904048
Enrollment ID: I20241122000891

Reviews and Comments


Family Medicine in Ashburn, VA

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Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 20905 Professional Plaza, Suite 330, Ashburn, VA 20147
Phone: 703-726-0003    Fax: 703-726-6444

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.