Lori Jean Maciulla, MD - Medicare Obstetrics & Gynecology in Mclean, VA

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Lori Jean Maciulla, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Mclean, Virginia. Her current practice location is 6707 Old Dominion Dr, Suite 300, Mclean, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 288-4330.

Lori Jean Maciulla is licensed to practice in Virginia (license number 01001043172) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528079837.

Contact Information

Lori Jean Maciulla, MD
6707 Old Dominion Dr, Suite 300,
Mclean, VA 22101-4504
(703) 288-4330
(703) 556-0347

Map and Direction




Physician's Profile

Full NameLori Jean Maciulla
GenderFemale
SpecialityObstetrics & Gynecology - Gynecology
Location6707 Old Dominion Dr, Mclean, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528079837
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 07/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7719040856
  • Enrollment ID: I20090115000172

Medical Identifiers

Medical identifiers for Lori Jean Maciulla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528079837NPI-NPPES
516252OtherMAMSI
4315636OtherAETNA
259156OtherVAANTHEM BCBS
32070001OtherDCCAREFIRST BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology 01001043172 (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. Lori Jean Maciulla allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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. Lori Jean Maciulla 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
Lori Jean Maciulla, MD
6707 Old Dominion Dr, Suite 300,
Mclean, VA 22101-4504

Ph: (703) 288-4330		Lori Jean Maciulla, MD
6707 Old Dominion Dr, Suite 300,
Mclean, VA 22101-4504

Ph: (703) 288-4330

Reviews and Comments


Obstetrics & Gynecology Doctors in Mclean, VA

Michael A Ross, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 6861 Elm St, Ste 4d, Mclean, VA 22101
Phone: 703-442-0811    Fax: 703-356-5024
Lareine Stampfle Sabella, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 6707 Old Dominion Dr, Suite 300, Mclean, VA 22101
Phone: 703-556-0776    Fax: 703-556-0347

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.