Tara Wall Brown, PSYD in Fairfax, VA - Medicare Clinical Psychologist Provider

Tara Wall Brown, PSYD is a medicare enrolled "Psychologist" provider in Fairfax, Virginia. She graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Northern Virginia Psychiatric Group and her current practice location is 8500 Executive Park Ave, Suite 200, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 698-5200.

Tara Wall Brown is licensed to practice in Virginia (license number 0810003400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982603692.

Contact Information

	Tara Wall Brown, PSYD
	8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225
	(703) 698-5200
	(703) 573-2351

Map and Direction

Healthcare Provider's Profile

Full Name	Tara Wall Brown
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	8500 Executive Park Ave, Fairfax, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Wall Brown graduated from medical school in 2001

NPI Data:

NPI Number: 1982603692
Provider Enumeration Date: 07/15/2005
Last Update Date: 11/10/2011

Medicare PECOS Information:

PECOS PAC ID: 4981913597
Enrollment ID: I20151022000744

Medical Identifiers

Medical identifiers for Tara Wall Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982603692	NPI	-	NPPES
139478	Other	VA	ANTHEM
681761	Other	VA	NCPPO
735839-000	Other	VA	MAGELLAN
0081	Other	VA	CAREFIRST DC
7513603	Other		AETNA
2160264	Other		MAMSI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	0810003400 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Virginia Psychiatric Group	9830184852	9

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. Tara Wall Brown allows following entities to bill medicare on her behalf.

Entity Name	Northern Virginia Psychiatric Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396786141 PECOS PAC ID: 9830184852 Enrollment ID: O20040419001117

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. Tara Wall Brown 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
Tara Wall Brown, PSYD 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 Ph: (703) 698-5200	Tara Wall Brown, PSYD 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 Ph: (703) 698-5200

Reviews and Comments

Psychologist in Fairfax, VA

Katherine Nethercote, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 571-423-4900
Adrienne Konstantin, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3925 Blenheim Blvd Ste 53a, Fairfax, VA 22030 Phone: 703-972-2388
Dr. Jennie Lynn Crim, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10560 Main St Ste 507, Fairfax, VA 22030 Phone: 703-691-1326 Fax: 703-691-3553
Dr. Diane Marie Hoekstra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10721 Main St Ste 2350, Fairfax, VA 22030 Phone: 703-591-5912 Fax: 703-581-7210
Frances Jillian Priesmeyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-619-4859
Kathleen Racz Baker, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-899-4061
Jennie Song, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 571-423-4250

Tara Wall Brown, PSYD - Medicare Psychologist in Fairfax, VA