| Mrs Jennifer Bischoff Pedicano, MD | |
|
100 Elden St Ste 10, Herndon, VA 20170-4833 | |
| (703) 689-2000 | |
| (703) 478-6612 |
| Full Name | Mrs Jennifer Bischoff Pedicano |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology |
| Location | 100 Elden St Ste 10, Herndon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568638229 | NPI | - | NPPES |
| 1568638229 | Medicaid | VA | |
| 6M5932 | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 0101246807 (Virginia) | Primary |
| Entity Name | Medical Faculty Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Entity Name | Allergy Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417783788 PECOS PAC ID: 7113822420 Enrollment ID: O20151023001243 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Bischoff Pedicano, MD Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2625 | Mrs Jennifer Bischoff Pedicano, MD 100 Elden St Ste 10, Herndon, VA 20170-4833 Ph: (703) 689-2000 |
Ngoc Vu, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 100 Elden St, Ste 10, Herndon, VA 20170 Phone: 703-689-2000 Fax: 703-478-6612 | |
Donna Lynn Schuster, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 100 Elden St, Ste 10, Herndon, VA 20170 Phone: 703-689-2000 Fax: 703-478-6612 | |
Samantha Cresoe-ortiz, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 100 Elden St Ste 10, Herndon, VA 20170 Phone: 703-689-2000 Fax: 703-478-6612 |