Traci Annetta Marin, CNM - Medicare Advanced Practice Midwife in Dulles, VA

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Traci Annetta Marin, CNM is a medicare enrolled "Advanced Practice Midwife" in Dulles, Virginia. Her current practice location is 24430 Stone Springs Blvd., Suite 475, Dulles, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 957-1245.

Traci Annetta Marin is licensed to practice in Virginia (license number 0024169463) 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 1053692343.

Contact Information

Traci Annetta Marin, CNM
24430 Stone Springs Blvd., Suite 475,
Dulles, VA 20166-2272
(703) 957-1245
Not Available

Map and Direction




Provider's Profile

Full NameTraci Annetta Marin
GenderFemale
SpecialityAdvanced Practice Midwife
Location24430 Stone Springs Blvd., Suite 475, Dulles, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053692343
  • Provider Enumeration Date: 08/31/2011
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870824659
  • Enrollment ID: I20191009000325

Medical Identifiers

Medical identifiers for Traci Annetta Marin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053692343NPI-NPPES
30016037770003MedicaidVA
1053692343MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 0024169463 (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. Traci Annetta Marin allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Traci Annetta Marin 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
Traci Annetta Marin, CNM
224-d Cornwall Street, Nw, Suite 403,
Leesburg, VA 20176-2704

Ph: (703) 737-6010		Traci Annetta Marin, CNM
24430 Stone Springs Blvd., Suite 475,
Dulles, VA 20166-2272

Ph: (703) 957-1245

Reviews and Comments


Advanced Practice Midwife Nurses in Dulles, VA

Margaret Jeanne Brandquist, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 24430 Stone Springs Blvd, Suite 550, Dulles, VA 20166
Phone: 703-957-1245    Fax: 703-665-2374
Mrs. Amanda Rose Carmen, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 24430 Stone Springs Blvd Ste 475, Dulles, VA 20166
Phone: 703-957-1245    Fax: 703-665-2374

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.