Mr Eric Jividen, MPAS, PA-C in Centreville, VA - Medicare Physician Assistant

Mr Eric Jividen, MPAS, PA-C is a medicare enrolled "Physician Assistant - Medical" in Centreville, Virginia. His current practice location is 13700 Crystalford Ct, Centreville, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 969-4190.

Mr Eric Jividen is licensed to practice in Virginia (license number 0110002105) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134507734.

Contact Information

	Mr Eric Jividen, MPAS, PA-C
	13700 Crystalford Ct, Centreville, VA 20120-2085
	(703) 969-4190
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Eric Jividen
Gender	Male
Speciality	Physician Assistant - Medical
Location	13700 Crystalford Ct, Centreville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134507734
Provider Enumeration Date: 05/14/2015
Last Update Date: 05/15/2015

Medicare PECOS Information:

PECOS PAC ID: 9830547348
Enrollment ID: I20231122000223

Medical Identifiers

Medical identifiers for Mr Eric Jividen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134507734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0110002105 (Virginia)	Primary
363AM0700X	Physician Assistant - Medical	103779 (North Carolina)	Secondary

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. Mr Eric Jividen 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
Mr Eric Jividen, MPAS, PA-C 13700 Crystalford Ct, Centreville, VA 20120-2085 Ph: (703) 969-4190	Mr Eric Jividen, MPAS, PA-C 13700 Crystalford Ct, Centreville, VA 20120-2085 Ph: (703) 969-4190

Reviews and Comments

Physician Assistant Nurses in Centreville, VA

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Gilda Loga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6211 Centreville Rd, Suite 700, Centreville, VA 20121 Phone: 703-222-0002 Fax: 703-449-9890

Mr Eric Jividen, MPAS, PA-C - Medicare Physician Assistant in Centreville, VA