Sulman A Mirza, MD in Fairfax, VA - Medicare Psychiatry & Neurology

Sulman A Mirza, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Fairfax, Virginia. His current practice location is 11204 Waples Mill Rd, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 218-8500.

Sulman A Mirza is licensed to practice in Virginia (license number 0101253972) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699036012.

Contact Information

	Sulman A Mirza, MD
	11204 Waples Mill Rd, Fairfax, VA 22030-6036
	(703) 218-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Sulman A Mirza
Gender	Male
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	11204 Waples Mill Rd, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699036012
Provider Enumeration Date: 06/01/2012
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8820238652
Enrollment ID: I20221117002637

Medical Identifiers

Medical identifiers for Sulman A Mirza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699036012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	0101256972 (Virginia)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	0101253972 (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. Sulman A Mirza allows following entities to bill medicare on his behalf.

Entity Name	Personic Virtual Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740878420 PECOS PAC ID: 8729496849 Enrollment ID: O20210409000073

Entity Name	Personic Neuropsych Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083342596 PECOS PAC ID: 8123496056 Enrollment ID: O20221123002318

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. Sulman A Mirza 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
Sulman A Mirza, MD 24608 Siltstone Sq, Aldie, VA 20105-3001 Ph: () -	Sulman A Mirza, MD 11204 Waples Mill Rd, Fairfax, VA 22030-6036 Ph: (703) 218-8500

Reviews and Comments

Psychiatry & Neurology Doctors in Fairfax, VA

Laura Anne Cinski, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031 Phone: 571-472-4200 Fax: 571-472-4201
Dr. Ashley Chorath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr # 425, Fairfax, VA 22031 Phone: 703-289-7599
Dr. Amy Safadi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8081 Innovation Park Dr # 900, Fairfax, VA 22031 Phone: 571-472-4200 Fax: 571-472-4201
Dr. Anjuli Sara Jindal, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-207-7742
Muhammad Taimoor Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031 Phone: 571-472-4200 Fax: 571-472-4201
Dr. Ravinderpal Singh, M.D, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11204 Waples Mill Rd, Fairfax, VA 22030 Phone: 703-218-8500 Fax: 703-359-0463
Dr. Siddharth Bajpai, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8500 Executive Park Ave, Ste 200, Fairfax, VA 22031 Phone: 319-356-1616 Fax: 703-573-2351

Sulman A Mirza, MD - Medicare Psychiatry & Neurology in Fairfax, VA