Prestige Medical House Call Llc - Medicare Primary Care in Fairfax, VA

Prestige Medical House Call Llc is a medicare enrolled primary clinic (Internal Medicine) in Fairfax, Virginia. The current practice location for Prestige Medical House Call Llc is 8315 Lee Hwy Ste 202, Fairfax, Virginia. For appointments, you can reach them via phone at (703) 352-1959. The mailing address for Prestige Medical House Call Llc is 8315 Lee Hwy Ste 202, Fairfax, Virginia and phone number is (703) 352-1959.

Prestige Medical House Call Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497316269. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (703) 352-1959.

Contact Information

Prestige Medical House Call Llc
8315 Lee Hwy Ste 202
Fairfax
VA 22031-2215
(703) 352-1959
(703) 352-2294

Map and Direction


Primary Care Clinic Profile

Full NamePrestige Medical House Call Llc
SpecialityInternal Medicine
Location8315 Lee Hwy Ste 202, Fairfax, Virginia
Authorized Official Name and PositionErwin Cheng (CEO)
Authorized Official Contact7033521959
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prestige Medical House Call Llc
8315 Lee Hwy Ste 202
Fairfax
VA 22031-2215

Ph: (703) 352-1959
Prestige Medical House Call Llc
8315 Lee Hwy Ste 202
Fairfax
VA 22031-2215

Ph: (703) 352-1959

NPI Details:

NPI Number1497316269
Provider Enumeration Date06/24/2019
Last Update Date06/24/2019

Medicare PECOS Information:

Medicare PECOS PAC ID1658704036
Medicare Enrollment IDO20191126002130

Medical Identifiers

Medical identifiers for Prestige Medical House Call Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497316269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prestige Medical House Call Llc acts as a billing entity for following providers:
Provider NameChristina M Tafe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235398702
PECOS PAC ID: 7618022799
Enrollment ID: I20090826000555
Provider NameTaffae Mayonette Cadeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295048338
PECOS PAC ID: 2163547217
Enrollment ID: I20140512001208
Provider NameNoelle Pierson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982003091
PECOS PAC ID: 4688992621
Enrollment ID: I20150820009995
Provider NameKimmala S Roundtree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205210788
PECOS PAC ID: 0547576589
Enrollment ID: I20150904001562
Provider NameSundi Elaina Tate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497121982
PECOS PAC ID: 6901105964
Enrollment ID: I20160725002451
Provider NameMaura A Constance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174928238
PECOS PAC ID: 6709172539
Enrollment ID: I20160906000118
Provider NameEvelyne Kingori
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821650177
PECOS PAC ID: 9032544101
Enrollment ID: I20200117001387
Provider NameAnita Dedei Akwetey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811416423
PECOS PAC ID: 8224463237
Enrollment ID: I20200122001259
Provider NameSandra L Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598313637
PECOS PAC ID: 5698101970
Enrollment ID: I20200205000129
Provider NameNasiru Tejan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720625221
PECOS PAC ID: 4486081197
Enrollment ID: I20200219000137
Provider NameMaria Theresa Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508395245
PECOS PAC ID: 3779911359
Enrollment ID: I20200313000363
Provider NameTran Le Khuu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851421556
PECOS PAC ID: 3274680327
Enrollment ID: I20200428000309
Provider NameApryl Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144713926
PECOS PAC ID: 6103159595
Enrollment ID: I20200903000966
Provider NameSuyun Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588060636
PECOS PAC ID: 0547584658
Enrollment ID: I20200916000460
Provider NameCierra Jade Relyea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669083416
PECOS PAC ID: 3274952676
Enrollment ID: I20201005002037
Provider NameCarla Tate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033796065
PECOS PAC ID: 4284042359
Enrollment ID: I20210412000095
Provider NameJessica Gilleo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558944959
PECOS PAC ID: 6103225123
Enrollment ID: I20210525001109
Provider NameStephanie Nicole Kralles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720671860
PECOS PAC ID: 3476953720
Enrollment ID: I20210610000213
Provider NameSarah Dale Craven
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942870506
PECOS PAC ID: 2769869015
Enrollment ID: I20220506001660
Provider NameShuyue Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275247512
PECOS PAC ID: 6901277011
Enrollment ID: I20230930000064

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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.