Dimitra Mammos, DNP, FNP-BC - Medicare Nurse Practitioner in Bristow, VA

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Dimitra Mammos, DNP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Bristow, Virginia. Her current practice location is 10322 Bristow Center Dr, Bristow, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 284-4245.

Dimitra Mammos is licensed to practice in Virginia (license number 0024190799) 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 1194544379.

Contact Information

Dimitra Mammos, DNP, FNP-BC
10322 Bristow Center Dr,
Bristow, VA 20136-2201
(571) 284-4245
Not Available

Map and Direction




Provider's Profile

Full NameDimitra Mammos
GenderFemale
SpecialityNurse Practitioner - Family
Location10322 Bristow Center Dr, Bristow, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194544379
  • Provider Enumeration Date: 10/07/2024
  • Last Update Date: 07/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5193251098
  • Enrollment ID: I20250608000039

Medical Identifiers

Medical identifiers for Dimitra Mammos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194544379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024190799 (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. Dimitra Mammos allows following entities to bill medicare on her behalf.
Entity NameUva Community Health Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598475741
PECOS PAC ID: 4688587967
Enrollment ID: O20110311000151

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. Dimitra Mammos 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
Dimitra Mammos, DNP, FNP-BC
Po Box 748613,
Atlanta, GA 30374-8613

Ph: () -		Dimitra Mammos, DNP, FNP-BC
10322 Bristow Center Dr,
Bristow, VA 20136-2201

Ph: (571) 284-4245

Reviews and Comments


Nurse Practitioner Nurses in Bristow, VA

Bessie J Raines, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10040 Pentland Hills Way, Bristow, VA 20136
Phone: 888-888-4959    
Sharmila Ojha,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10250 Bristow Center Dr, Bristow, VA 20136
Phone: 703-369-1739    
Dr. Johanna Lynn Gaskins, DNP, APRN, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10040 Pentland Hills Way, Bristow, VA 20136
Phone: 202-497-8348    Fax: 703-995-0930
Nancy Perez Ramirez, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13767 Restina Rd, Bristow, VA 20136
Phone: 703-665-9488    
Diana Hart Rybinsky, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10250 Bristow Center Dr, Bristow, VA 20136
Phone: 703-369-1739    
Luther Achu Njweipi, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13088 Bourne Pl, Bristow, VA 20136
Phone: 571-361-8720    

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.