- Medicare Primary Care in Woodbridge, VA

is a medicare enrolled primary clinic (Family Medicine) in Woodbridge, Virginia. The current practice location for is 14087 Richmond Highway, Woodbridge, Virginia. For appointments, you can reach them via phone at (571) 300-8000. The mailing address for is 14087 Richmond Highway, Woodbridge, Virginia and phone number is (571) 300-8000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790478782. 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 (571) 300-8000.

Contact Information

14087 Richmond Highway
Woodbridge
VA 22191
(571) 300-8000
(571) 300-8001

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location14087 Richmond Highway, Woodbridge, Virginia
Authorized Official Name and PositionJessica Lynn Kennedy (PRACTICE AREA MANGER)
Authorized Official Contact5403123230
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

14087 Richmond Highway
Woodbridge
VA 22191

Ph: (571) 300-8000

14087 Richmond Highway
Woodbridge
VA 22191

Ph: (571) 300-8000

NPI Details:

NPI Number1790478782
Provider Enumeration Date05/26/2023
Last Update Date12/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0648717512
Medicare Enrollment IDO20240809000294

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790478782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
208000000XPediatrics (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (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 NameRussell A Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447205554
PECOS PAC ID: 8820032089
Enrollment ID: I20050617000668
Provider NameValerie Jaskowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588853824
PECOS PAC ID: 4880774611
Enrollment ID: I20080107000593
Provider NameAngela Rajesh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760635502
PECOS PAC ID: 4880756162
Enrollment ID: I20081219000544
Provider NameShahid Aman Waraich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225296502
PECOS PAC ID: 4880758499
Enrollment ID: I20090812000576
Provider NameDavid A Duncan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427041656
PECOS PAC ID: 5991837262
Enrollment ID: I20100722000143
Provider NameConstantine N Chienku
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831139336
PECOS PAC ID: 4385829902
Enrollment ID: I20110426000300
Provider NameCynthia Robbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457874786
PECOS PAC ID: 0749554798
Enrollment ID: I20180910000433
Provider NameAngela A Fasanella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043768682
PECOS PAC ID: 9234427709
Enrollment ID: I20190401000093
Provider NameTishambay Denise Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598093072
PECOS PAC ID: 8820322977
Enrollment ID: I20190625000578
Provider NameHanna Tokon-yilma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508217498
PECOS PAC ID: 3274811765
Enrollment ID: I20200224000480
Provider NameKofi A Frimpong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437690583
PECOS PAC ID: 9133498470
Enrollment ID: I20200813001539
Provider NameZeina Al Saadi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790394492
PECOS PAC ID: 2163842303
Enrollment ID: I20201111001418
Provider NameKatina Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023628534
PECOS PAC ID: 2668884040
Enrollment ID: I20201208002179
Provider NamePawanpreet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861017972
PECOS PAC ID: 1557775418
Enrollment ID: I20210209002055
Provider NameLeiling Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174298400
PECOS PAC ID: 1951709674
Enrollment ID: I20211011003100
Provider NameAna Akhtar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447833363
PECOS PAC ID: 2163828278
Enrollment ID: I20220217000222
Provider NameAlphonse Akuo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497252845
PECOS PAC ID: 0345583605
Enrollment ID: I20221221003132
Provider NameOlguerline Lamousnery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356756068
PECOS PAC ID: 9739559048
Enrollment ID: I20230103001047
Provider NameAfua Acheampong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942996665
PECOS PAC ID: 8325401771
Enrollment ID: I20230831004092
Provider NameTyris D Ford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871169664
PECOS PAC ID: 3274929690
Enrollment ID: I20240522001924

Reviews and Comments


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Phone: 703-878-9000    

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.