Marietah Kilundo, in Quinton, VA - Medicare Nurse Practitioner

Marietah Kilundo, is a medicare enrolled "Nurse Practitioner - Acute Care" in Quinton, Virginia. Her current practice location is 11300 Continental Rd, Quinton, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 694-9585.

Marietah Kilundo is licensed to practice in Virginia (license number 0024178842) 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 1750028759.

Contact Information

	Marietah Kilundo,
	11300 Continental Rd, Quinton, VA 23141-2132
	(804) 694-9585
	Not Available

Map and Direction

Provider's Profile

Full Name	Marietah Kilundo
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	11300 Continental Rd, Quinton, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750028759
Provider Enumeration Date: 05/19/2022
Last Update Date: 05/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4082083860
Enrollment ID: I20221219000663

Medical Identifiers

Medical identifiers for Marietah Kilundo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750028759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024178842 (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. Marietah Kilundo allows following entities to bill medicare on her behalf.

Entity Name	Lake Spring Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568954287 PECOS PAC ID: 1254689482 Enrollment ID: O20180806000449

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. Marietah Kilundo 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 Address	Practice Location Address
Marietah Kilundo, 11300 Continental Rd, Quinton, VA 23141-2132 Ph: (804) 694-9585	Marietah Kilundo, 11300 Continental Rd, Quinton, VA 23141-2132 Ph: (804) 694-9585

Reviews and Comments

Nurse Practitioner Nurses in Quinton, VA

Ms. Candace Loucks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7493 Patriots Landing Pl, Quinton, VA 23141 Phone: 804-244-0459
Mrs. Margaret Mountcastle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 804-932-4388 Fax: 804-932-9860
Mrs. Jennifer Nicole Crockett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1460 Yakima Rd, Quinton, VA 23141 Phone: 804-814-7814
Mary Vann, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141 Phone: 804-932-4388 Fax: 804-932-1003
Suzanna Hunter Goode, LNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8770 Matoaka Glen Rd, Quinton, VA 23141 Phone: 804-929-8255
Jenny L Brady, MSN, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7410 Cooper Tavern Rd Ste B, Quinton, VA 23141 Phone: 804-223-3608 Fax: 804-223-3648

Marietah Kilundo, - Medicare Nurse Practitioner in Quinton, VA