Eveline M Fohtung, - Medicare Nurse Practitioner in Manassas, VA

Eveline M Fohtung, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Manassas, Virginia. Her current practice location is 8575 Rixlew Ln, Manassas, Virginia. You can reach out to her office (for appointments etc.) via phone at (301) 593-1315.

Eveline M Fohtung is licensed to practice in Virginia (license number 0024191081) 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 1649004979.

Contact Information

Eveline M Fohtung,
8575 Rixlew Ln,
Manassas, VA 20109-3701
(301) 593-1315
Not Available

Map and Direction




Provider's Profile

Full NameEveline M Fohtung
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location8575 Rixlew Ln, Manassas, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649004979
  • Provider Enumeration Date: 08/29/2024
  • Last Update Date: 01/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9335676279
  • Enrollment ID: I20241217001974

Medical Identifiers

Medical identifiers for Eveline M Fohtung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649004979NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 2024010898 (Virginia)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 2024010898 (Virginia)Secondary
364SP0807XClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent 2024010898 (Virginia)Secondary
364SP0810XClinical Nurse Specialist - Psychiatric/mental Health, Child & Family 2024010898 (Virginia)Secondary
364SP0811XClinical Nurse Specialist - Psychiatric/mental Health, Chronically Ill 2024010898 (Virginia)Secondary
364SP0812XClinical Nurse Specialist - Psychiatric/mental Health, Community 2024010898 (Virginia)Secondary
364SP0813XClinical Nurse Specialist - Psychiatric/mental Health, Geropsychiatric 2024010898 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024191081 (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. Eveline M Fohtung allows following entities to bill medicare on her behalf.
Entity NamePsychogeriatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588689483
PECOS PAC ID: 6002719226
Enrollment ID: O20150717001653
Entity NamePotomac Shores Mental Health And Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902562507
PECOS PAC ID: 7719379072
Enrollment ID: O20220118001025

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. Eveline M Fohtung 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
Eveline M Fohtung,
7501 Heritage Village Plz,
Gainesville, VA 20155-3078

Ph: (571) 762-9099
Eveline M Fohtung,
8575 Rixlew Ln,
Manassas, VA 20109-3701

Ph: (301) 593-1315

Reviews and Comments


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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.

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