Dr Jason P Kiangsoontra, DDS, MS, FACP - Medicare Dentist in Gainesville, VA

Dr Jason P Kiangsoontra, DDS, MS, FACP is a medicare enrolled "Dentist - Prosthodontics" provider in Gainesville, Virginia. His current practice location is 7521 Virginia Oaks Dr Ste 230, Gainesville, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 754-7151.

Dr Jason P Kiangsoontra is licensed to practice in Virginia (license number 0401415189) 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 1114364551.

Contact Information

Dr Jason P Kiangsoontra, DDS, MS, FACP
7521 Virginia Oaks Dr Ste 230,
Gainesville, VA 20155-3831
(703) 754-7151
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jason P Kiangsoontra
GenderMale
SpecialityDentist - Prosthodontics
Location7521 Virginia Oaks Dr Ste 230, Gainesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114364551
  • Provider Enumeration Date: 05/24/2013
  • Last Update Date: 12/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3072894187
  • Enrollment ID: I20170104001305

Medical Identifiers

Medical identifiers for Dr Jason P Kiangsoontra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114364551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics R558 (Minnesota)Secondary
1223P0700XDentist - Prosthodontics 0401415189 (Virginia)Primary

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. Dr Jason P Kiangsoontra 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 AddressPractice Location Address
Dr Jason P Kiangsoontra, DDS, MS, FACP
3148 Goldenwave Ct,
Fairfax, VA 22031-1863

Ph: () -
Dr Jason P Kiangsoontra, DDS, MS, FACP
7521 Virginia Oaks Dr Ste 230,
Gainesville, VA 20155-3831

Ph: (703) 754-7151

Reviews and Comments


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Dr. Donald J Campbell,
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William Dang,
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Medicare: Not Enrolled in Medicare
Practice Location: 7521 Virginia Oaks Dr Ste 230, Gainesville, VA 20155
Phone: 703-754-7151    Fax: 717-762-5546

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.