Shiva Adyaniyazdi, FNP-BC in Vienna, VA - Medicare Nurse Practitioner

Shiva Adyaniyazdi, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Vienna, Virginia. Her current practice location is 2070 Chain Bridge Rd, Vienna, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 383-4836.

Shiva Adyaniyazdi is licensed to practice in Virginia (license number 2024066515) 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 1386477479.

Contact Information

	Shiva Adyaniyazdi, FNP-BC
	2070 Chain Bridge Rd, Vienna, VA 22182
	(703) 383-4836
	Not Available

Map and Direction

Provider's Profile

Full Name	Shiva Adyaniyazdi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2070 Chain Bridge Rd, Vienna, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386477479
Provider Enumeration Date: 08/23/2024
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 2264942069
Enrollment ID: I20250610004037

Medical Identifiers

Medical identifiers for Shiva Adyaniyazdi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386477479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2024066515 (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. Shiva Adyaniyazdi allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298

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. Shiva Adyaniyazdi 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
Shiva Adyaniyazdi, FNP-BC 2070 Chain Bridge Rd, Vienna, VA 22182-2536 Ph: () -	Shiva Adyaniyazdi, FNP-BC 2070 Chain Bridge Rd, Vienna, VA 22182 Ph: (703) 383-4836

Reviews and Comments

Nurse Practitioner Nurses in Vienna, VA

Rebecca S. Browne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Park St Se # 205300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457
Mrs. Peggy S Thurston, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Maple Ave W, 5, Vienna, VA 22180 Phone: 703-938-2244 Fax: 703-938-3669
Emily Janice Mastromatteo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 East St Se Ste 301, Vienna, VA 22180 Phone: 703-938-5555
Shawn David Rohan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8357 Leesburg Pike, Vienna, VA 22182 Phone: 571-665-6440
Kelly Faulkner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8133 Leesburg Pike Ste 600, Vienna, VA 22182 Phone: 855-479-4217 Fax: 888-557-9724
Ms. Cathryn R Burgess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Maple Ave W, Suite L-3, Vienna, VA 22180 Phone: 703-319-3200 Fax: 703-319-3200
Rachel Palenski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8302 Old Courthouse Rd Ste C, Vienna, VA 22182 Phone: 703-462-8138

Shiva Adyaniyazdi, FNP-BC - Medicare Nurse Practitioner in Vienna, VA