| Ivan Racadag, AGPCNP-BC | |
|
20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 | |
| (551) 295-8223 | |
| Not Available |
| Full Name | Ivan Racadag |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 20130 Lakeview Center Plz Ste 400, Ashburn, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083062392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001230039 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 0024173957 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Herndon, VA | Home health agency |
| Virginian Home Health Services | Fairfax, VA | Home health agency |
| Bayada Home Health Care Inc | Falls church, VA | Home health agency |
| Caregivers Home Health Services, Inc | Falls church, VA | Home health agency |
| Goodwin House Palliative Care And Hospice | Falls church, VA | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ennoble Hc Dmv Llc | 9032517925 | 100 |
| Ennoble Hc Dmv Llc | 9032517925 | 100 |
| Entity Name | Ennoble Hc Dmv Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211007000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Racadag, AGPCNP-BC 2 University Plz Ste 204, Hackensack, NJ 07601-6211 Ph: (551) 295-8223 | Ivan Racadag, AGPCNP-BC 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 Ph: (551) 295-8223 |
Joy Vizi, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20098 Ashbrook Pl, Suite 190, Ashburn, VA 20147 Phone: 571-223-0410 | |
Tayyaba Shahid Khan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41618 Fenway Circle, Ashburn, VA 20148 Phone: 571-550-5144 | |
Kristen M Sutphin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21785 Filigree Ct Ste 100, Ashburn, VA 20147 Phone: 703-554-1100 | |
Angel Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20905 Professional Plz Ste 330, Ashburn, VA 20147 Phone: 703-726-0003 Fax: 703-726-6444 | |
Mrs. Amanda Feigenheimer, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21170 Ashby Ponds Blvd, Ashburn, VA 20147 Phone: 571-291-6160 Fax: 571-291-6159 | |
Megan Lee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43288 Atherton St, Ashburn, VA 20147 Phone: 224-435-7973 | |
Suzanne Marshalonis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43388 Whitehead Ter, Ashburn, VA 20148 Phone: 703-447-5537 |