Mr Mark Emanuel Vasiliadis, MD - Family Medicine in Reston, VA

Mr Mark Emanuel Vasiliadis, MD is a Family Medicine physician based in Reston, Virginia. Mr Mark Emanuel Vasiliadis is licensed to practice in Virginia (license number 0101050406) and his current practice location is 12040 S Lakes Dr, Suite 195, Reston, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 230-0347.

NPI number for Mr Mark Emanuel Vasiliadis is 1639241771 and his current mailing address is 12040 S Lakes Dr Ste 204, Reston, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639241771.

Contact Information

Mr Mark Emanuel Vasiliadis, MD
12040 S Lakes Dr, Suite 195,
Reston, VA 20191-1246
(703) 230-0347
Not Available

Map and Direction




Physician's Profile

Full NameMr Mark Emanuel Vasiliadis
GenderMale
SpecialityFamily Medicine
Location12040 S Lakes Dr, Reston, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639241771
  • Provider Enumeration Date: 11/14/2006
  • Last Update Date: 08/25/2022

Medical Identifiers

Medical identifiers for Mr Mark Emanuel Vasiliadis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639241771NPI-NPPES
593776473OtherVATAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101050406 (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. Mr Mark Emanuel Vasiliadis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Emanuel Vasiliadis, MD
12040 S Lakes Dr Ste 204,
Reston, VA 20191-1236

Ph: (703) 230-0347
Mr Mark Emanuel Vasiliadis, MD
12040 S Lakes Dr, Suite 195,
Reston, VA 20191-1246

Ph: (703) 230-0347

Reviews and Comments


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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.

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