Ivan Racadag, AGPCNP-BC - Medicare Nurse Practitioner in Vienna, VA

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Ivan Racadag, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Vienna, Virginia. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ennoble Hc Dmv Llc, Ennoble Hc Dmv Llc and his current practice location is 1604 Spring Hill Rd, Suite 450, Vienna, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 599-5643.

Ivan Racadag is licensed to practice in Virginia (license number 0024173957) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083062392.

Contact Information

Ivan Racadag, AGPCNP-BC
1604 Spring Hill Rd, Suite 450,
Vienna, VA 22182-7510
(571) 599-5643
(703) 270-4350

Map and Direction




Provider's Profile

Full NameIvan Racadag
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location1604 Spring Hill Rd, Vienna, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ivan Racadag graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1083062392
  • Provider Enumeration Date: 05/26/2016
  • Last Update Date: 01/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0648568121
  • Enrollment ID: I20220606002978

Medical Identifiers

Medical identifiers for Ivan Racadag such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083062392NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 0024173957 (Virginia)Primary
163W00000XRegistered Nurse 0001230039 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home Health Herndon, VAHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ennoble Hc Dmv Llc903251792524
Ennoble Hc Dmv Llc903251792524

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. Ivan Racadag allows following entities to bill medicare on his behalf.
Entity NameEnnoble Hc Dmv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104492115
PECOS PAC ID: 9032517925
Enrollment ID: O20211007000017

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. Ivan Racadag 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
Ivan Racadag, AGPCNP-BC
1604 Spring Hill Rd, Suite 450,
Vienna, VA 22182-7510

Ph: (571) 599-5643		Ivan Racadag, AGPCNP-BC
1604 Spring Hill Rd, Suite 450,
Vienna, VA 22182-7510

Ph: (571) 599-5643

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.

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.