Vita Family Medicine And Medspa Llc - Medicare Primary Care in Leesburg, VA

Vita Family Medicine And Medspa Llc is a medicare enrolled primary clinic (Family Medicine) in Leesburg, Virginia. The current practice location for Vita Family Medicine And Medspa Llc is 540 Fort Evans Rd, Suite 204, Leesburg, Virginia. For appointments, you can reach them via phone at (703) 737-3500. The mailing address for Vita Family Medicine And Medspa Llc is 540 Fort Evans Rd, Suite 204, Leesburg, Virginia and phone number is (703) 737-3500.

Vita Family Medicine And Medspa Llc is licensed to practice in Virginia (license number ). The clinic also participates in the medicare program and its NPI number is 1730532359. 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) 737-3500.

Contact Information

Vita Family Medicine And Medspa Llc
540 Fort Evans Rd
Suite 204
Leesburg
VA 20176-3379
(703) 737-3500
(703) 737-3550

Map and Direction


Primary Care Clinic Profile

Full NameVita Family Medicine And Medspa Llc
SpecialityFamily Medicine
Location540 Fort Evans Rd, Leesburg, Virginia
Authorized Official Name and PositionJennifer Boudreau (OWNER/DOCTOR)
Authorized Official Contact7178058264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vita Family Medicine And Medspa Llc
540 Fort Evans Rd
Suite 204
Leesburg
VA 20176-3379

Ph: (703) 737-3500
Vita Family Medicine And Medspa Llc
540 Fort Evans Rd
Suite 204
Leesburg
VA 20176-3379

Ph: (703) 737-3500

NPI Details:

NPI Number1730532359
Provider Enumeration Date07/19/2016
Last Update Date10/13/2016

Medicare PECOS Information:

Medicare PECOS PAC ID4688962442
Medicare Enrollment IDO20161011000603

Medical Identifiers

Medical identifiers for Vita Family Medicine And Medspa Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730532359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Virginia)Primary
261QP2300XClinic/center - Primary Care 0101258315 (Virginia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vita Family Medicine And Medspa Llc acts as a billing entity for following providers:
Provider NameJennifer B Boudreau
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811216021
PECOS PAC ID: 2466696448
Enrollment ID: I20150908002772
Provider NameErica M Shackelford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902375694
PECOS PAC ID: 0244578060
Enrollment ID: I20190220001649

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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.