| Dr Jasmine Wanda Moghissi, MD | |
|
1860 Town Center Dr Ste 310, Reston, VA 20190-5899 | |
| (703) 281-5560 | |
| (703) 281-5568 |
| Full Name | Dr Jasmine Wanda Moghissi |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1860 Town Center Dr Ste 310, Reston, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407860794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101044043 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Hospital Center | Arlington, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jasmine Wanda Moghissi, MD 1860 Town Center Dr Ste 310, Reston, VA 20190-5899 Ph: (703) 281-5560 | Dr Jasmine Wanda Moghissi, MD 1860 Town Center Dr Ste 310, Reston, VA 20190-5899 Ph: (703) 281-5560 |
Dr. Juan Alberto Trinidad, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Dr, Suite 310, Reston, VA 20190 Phone: 703-709-7225 | |
Dr. Jonathan Bernard Menezes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-709-1500 | |
Kelly Davis Hernandez, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Pinecrest Rd Ste 250, Reston, VA 20191 Phone: 703-476-1050 | |
Dr. Taseen Mir, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11107 Sunset Hills Rd Ste 200, Reston, VA 20190 Phone: 703-876-9300 Fax: 703-876-9811 | |
Dr. Annick Stam-cheatham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11930 Democracy Dr, Reston, VA 20190 Phone: 888-663-6331 Fax: 415-252-7176 | |
Gulnara Charipova, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Town Center Pkwy Ste 412, Reston, VA 20190 Phone: 703-689-9379 Fax: 703-639-9569 | |
Elizabeth Honore Gannon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11930 Democracy Dr, Reston, VA 20190 Phone: 202-220-0050 |