- Medicare Primary Care in Fairfax, VA

is a medicare enrolled primary clinic (Obstetrics & Gynecology) in Fairfax, Virginia. The current practice location for is 8316 Arlington Blvd Ste 206, Fairfax, 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 () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1720448442. 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

8316 Arlington Blvd Ste 206
Fairfax
VA 22031-5216
(800) 762-6282
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityObstetrics & Gynecology
Location8316 Arlington Blvd Ste 206, Fairfax, 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 21046-2286

Ph: () -

8316 Arlington Blvd Ste 206
Fairfax
VA 22031-5216

Ph: (800) 762-6282

NPI Details:

NPI Number1720448442
Provider Enumeration Date02/24/2016
Last Update Date12/08/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7517366149
Medicare Enrollment IDO20211004001238

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720448442NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Primary
207VG0400XObstetrics & Gynecology - Gynecology (* (Not Available))Secondary
207VX0000XObstetrics & Gynecology - Obstetrics (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LG0600XNurse Practitioner - Gerontology (* (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 NameCarl Lord
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063462349
PECOS PAC ID: 1759447311
Enrollment ID: I20090305000488
Provider NameIlya Rabkin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760822324
PECOS PAC ID: 9335360288
Enrollment ID: I20141020000062
Provider NameAnil Ashok Bajnath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730568684
PECOS PAC ID: 4385959691
Enrollment ID: I20180718000813
Provider NameAnnie Ressalam
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922392752
PECOS PAC ID: 4284933169
Enrollment ID: I20180822001669
Provider NameSamantha Suller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962975474
PECOS PAC ID: 3476892944
Enrollment ID: I20190306001922
Provider NameIna Grundmann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093989097
PECOS PAC ID: 6406255058
Enrollment ID: I20211004001618
Provider NameJennifer Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700868320
PECOS PAC ID: 0749679561
Enrollment ID: I20211117002407
Provider NameAshley Beccaloni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285227355
PECOS PAC ID: 7416350905
Enrollment ID: I20220110000067
Provider NameNarayana Pennington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275200263
PECOS PAC ID: 1951791912
Enrollment ID: I20220228000043
Provider NameAmelia Jo Carnohan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306579255
PECOS PAC ID: 8224404033
Enrollment ID: I20221019002479
Provider NameGarrett Peed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699497057
PECOS PAC ID: 9032586219
Enrollment ID: I20221102000946
Provider NameSoraya Salehi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235830845
PECOS PAC ID: 7517316763
Enrollment ID: I20231213000782
Provider NameSadia Ali
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417395971
PECOS PAC ID: 6709019847
Enrollment ID: I20240812002437
Provider NameSamantha Powers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790397263
PECOS PAC ID: 5193187706
Enrollment ID: I20240820004377
Provider NameViridiana Fuentes Rosales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407530942
PECOS PAC ID: 5395286991
Enrollment ID: I20240923004118
Provider NameMichelle Kavall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396500807
PECOS PAC ID: 9032656327
Enrollment ID: I20241002000493
Provider NameCarolyn Cerswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437889623
PECOS PAC ID: 9032576582
Enrollment ID: I20241002004206
Provider NameShreya Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033798012
PECOS PAC ID: 5496163164
Enrollment ID: I20241017000788
Provider NameAllison Crane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144480823
PECOS PAC ID: 6204904048
Enrollment ID: I20241030004594

Reviews and Comments


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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.