Jennifer Villavicencio, MD - Medicare Obstetrics/gynecology in Washington, DC

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Jennifer Villavicencio, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Washington, District Of Columbia. She went to Univ Of Central Florida, College Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Tidalhealth Specialty Care Llc and her current practice location is 1225 4th St Ne, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 603-4794.

Jennifer Villavicencio is licensed to practice in Maryland (license number D90207) 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 1790125391.

Contact Information

Jennifer Villavicencio, MD
1225 4th St Ne,
Washington, DC 20002-3431
(202) 603-4794
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Villavicencio
GenderFemale
SpecialityObstetrics/gynecology
Experience12 Years
Location1225 4th St Ne, Washington, District Of Columbia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Villavicencio attended and graduated from Univ Of Central Florida, College Of Medicine in 2013
  NPI Data:
  • NPI Number: 1790125391
  • Provider Enumeration Date: 06/27/2013
  • Last Update Date: 11/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3274839733
  • Enrollment ID: I20210422001722

Medical Identifiers

Medical identifiers for Jennifer Villavicencio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790125391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 01098372A (Indiana)Secondary
207V00000XObstetrics & Gynecology D90207 (Maryland)Primary
207V00000XObstetrics & Gynecology MD048779 (District Of Columbia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peninsula Regional Medical CenterSalisbury, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidalhealth Specialty Care Llc7113340845217

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. Jennifer Villavicencio allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Maryland Community Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477530624
PECOS PAC ID: 3678472214
Enrollment ID: O20040102000687
Entity NameSt Agnes Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144250176
PECOS PAC ID: 9830092733
Enrollment ID: O20040128001146
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347
Entity NameTidalhealth Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619504735
PECOS PAC ID: 7113340845
Enrollment ID: O20200714000286

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. Jennifer Villavicencio 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
Jennifer Villavicencio, MD
2490 Market St Ne # 246,
Washington, DC 20018-3851

Ph: () -		Jennifer Villavicencio, MD
1225 4th St Ne,
Washington, DC 20002-3431

Ph: (202) 603-4794

Reviews and Comments


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Dr. Richard J. Beckerman, M.D.
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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.