Mrs Diviyalaxmi Muruganandam, PA is a medicare enrolled "Physician Assistant - Medical" physician in Herndon, Virginia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Privia Medical Group Llc and her current practice location is
381 Elden St Ste 1000, Herndon, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 481-1505.
Mrs Diviyalaxmi Muruganandam is licensed to practice in Virginia (license number 0110006077) 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 1114426392.
Physician's Profile
| Full Name | Mrs Diviyalaxmi Muruganandam |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 381 Elden St Ste 1000, Herndon, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Diviyalaxmi Muruganandam graduated from medical school in 2017
NPI Data:
- NPI Number: 1114426392
- Provider Enumeration Date: 02/02/2018
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800157702
- Enrollment ID: I20180308002205
Medical Identifiers
Medical identifiers for Mrs Diviyalaxmi Muruganandam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114426392 | NPI | - | NPPES |
| 0110006077 | Other | VA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0110006077 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110006077 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Privia Medical Group Llc | 4385682061 | 1176 |
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. Mrs Diviyalaxmi Muruganandam 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 Address | Practice Location Address |
|---|
Mrs Diviyalaxmi Muruganandam, PA
1521 Boyd Pointe Way Apt 2710,
Tysons, VA 22182-7561
Ph: (703) 981-5533 | Mrs Diviyalaxmi Muruganandam, PA
381 Elden St Ste 1000,
Herndon, VA 20170-4842
Ph: (703) 481-1505 |
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