Shamil Latrease Roman, WHNP is a medicare enrolled "Advanced Practice Midwife" in Mc Lean, Virginia. Her current practice location is
8008 Westpark Dr, Mc Lean, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 287-6000.
Shamil Latrease Roman is licensed to practice in Virginia (license number ) 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 1891386090.
Provider's Profile
| Full Name | Shamil Latrease Roman |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 8008 Westpark Dr, Mc Lean, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891386090
- Provider Enumeration Date: 01/30/2021
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577960723
- Enrollment ID: I20210930001554
Medical Identifiers
Medical identifiers for Shamil Latrease Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891386090 | NPI | - | NPPES |
| 104132147 | Other | | NATIONAL CERTIFICATION CORPORATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LW0102X | Nurse Practitioner - Women's Health | 104132147 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | (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. Shamil Latrease Roman allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
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| Entity Name | Womens Health And Surgery Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497901441 PECOS PAC ID: 8224197306 Enrollment ID: O20081104000438 |
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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. Shamil Latrease Roman 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 |
Shamil Latrease Roman, WHNP 2 Bradbury Way, Stafford, VA 22554-1800 Ph: (571) 296-9520 | Shamil Latrease Roman, WHNP 8008 Westpark Dr, Mc Lean, VA 22102-3109 Ph: (703) 287-6000 |
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