Evelyn Butsome Sallah-koomson, APRN FNP-C - Medicare Family Medicine in Herndon, VA

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Evelyn Butsome Sallah-koomson, APRN FNP-C is a medicare enrolled "Family Medicine" physician in Herndon, Virginia. current practice location is 106 Elden St Ste 18b, Herndon, Virginia. You can reach out to office (for appointments etc.) via phone at (703) 723-9100.

Evelyn Butsome Sallah-koomson is licensed to practice in Virginia (license number 0024191662) and also participates in the medicare program. does not accept medicare assignments directly but may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. NPI Number is 1245053966.

Contact Information

Evelyn Butsome Sallah-koomson, APRN FNP-C
106 Elden St Ste 18b,
Herndon, VA 20170-4826
(703) 723-9100
(703) 723-9200

Map and Direction




Physician's Profile

Full NameEvelyn Butsome Sallah-koomson
Gender
SpecialityFamily Medicine
Location106 Elden St Ste 18b, Herndon, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245053966
  • Provider Enumeration Date: 11/01/2024
  • Last Update Date: 11/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618494824
  • Enrollment ID: I20250509002198

Medical Identifiers

Medical identifiers for Evelyn Butsome Sallah-koomson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245053966NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0024191662 (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. Evelyn Butsome Sallah-koomson allows following entities to bill medicare on behalf.
Entity NameNorthstar Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861094096
PECOS PAC ID: 5496168320
Enrollment ID: O20210113001663

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. Evelyn Butsome Sallah-koomson 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
Evelyn Butsome Sallah-koomson, APRN FNP-C
106 Elden St Ste 18b,
Herndon, VA 20170-4826

Ph: (703) 723-9100		Evelyn Butsome Sallah-koomson, APRN FNP-C
106 Elden St Ste 18b,
Herndon, VA 20170-4826

Ph: (703) 723-9100

Reviews and Comments


Family Medicine Doctors in Herndon, VA

Dr. Fred Clayton Wilkins Jr., MD
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Practice Location: 104 Anthem Ave, Herndon, VA 20170
Phone: 703-376-7296    
Dr. Jason A. Cooper, MD
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Practice Location: 555 Herndon Parkway, Ste 100, Herndon, VA 20170
Phone: 703-481-1505    Fax: 703-742-8793
Robin L. Donald, DO
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Practice Location: 1141 Elden St, Third Floor, Herndon, VA 20170
Phone: 703-481-8160    Fax: 703-435-6752
Mrs. Diviyalaxmi Muruganandam, PA
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Practice Location: 381 Elden St Ste 1000, Herndon, VA 20170
Phone: 703-481-1505    Fax: 703-742-8793
Rajitha Siddineni, MD
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Practice Location: 1043 Sterling Rd Ste 104, Herndon, VA 20170
Phone: 703-689-0111    Fax: 703-689-0077
Dr. Kevin J Lee, MD
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Practice Location: 555 Herndon Parkway, Suite 100, Herndon, VA 20170
Phone: 703-481-1505    Fax: 703-742-8793
Bao-chau Audrey T Nguyen, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 600 Herndon Pkwy Ste 200, Herndon, VA 20170
Phone: 703-464-6094    Fax: 703-689-8959

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.