Fernando Manuel Avila, PHD in Vienna, VA - Medicare Clinical Psychologist Provider

Fernando Manuel Avila, PHD is a medicare enrolled "Psychologist - Clinical" provider in Vienna, Virginia. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Thriveworks Clinical - California Pc and his current practice location is 2671 Avenir Pl, Vienna, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 207-8600.

Fernando Manuel Avila is licensed to practice in California (license number PSY31410) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962783464.

Contact Information

	Fernando Manuel Avila, PHD
	2671 Avenir Pl, Vienna, VA 22180-7485
	(703) 207-8600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fernando Manuel Avila
Gender	Male
Speciality	Clinical Psychologist
Experience	11 Years
Location	2671 Avenir Pl, Vienna, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fernando Manuel Avila graduated from medical school in 2014

NPI Data:

NPI Number: 1962783464
Provider Enumeration Date: 08/29/2011
Last Update Date: 01/28/2020

Medicare PECOS Information:

PECOS PAC ID: 8628345386
Enrollment ID: I20200317001821

Medical Identifiers

Medical identifiers for Fernando Manuel Avila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962783464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	RPS 2012468 (California)	Secondary
103TC0700X	Psychologist - Clinical	0810005615 (Virginia)	Secondary
103TC0700X	Psychologist - Clinical	PSY31410 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thriveworks Clinical - California Pc	1759785645	30

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. Fernando Manuel Avila allows following entities to bill medicare on his behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

Entity Name	Thriveworks Clinical - California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008

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. Fernando Manuel Avila 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
Fernando Manuel Avila, PHD 11125 Pelham Ln, Fairfax, VA 22030-4518 Ph: (626) 203-3242	Fernando Manuel Avila, PHD 2671 Avenir Pl, Vienna, VA 22180-7485 Ph: (703) 207-8600

Reviews and Comments

Psychologist in Vienna, VA

Katherine Carr, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1595 Spring Hill Rd Ste 520, Vienna, VA 22182 Phone: 703-687-6610
Sarah Newbold, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1593 Spring Hill Rd Ste 705, Vienna, VA 22182 Phone: 804-375-1370
Dr. Kyle Standiford, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 Maple Ave W Ste F, Vienna, VA 22180 Phone: 703-938-0058
Pourya Bahremand, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8000 Towers Crescent Dr Fl 13, Vienna, VA 22182 Phone: 301-905-2295
Dr. Christopher Howard Lane, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8308 Old Courthouse Rd Ste B, Vienna, VA 22182 Phone: 703-556-4140 Fax: 703-893-2837
Dr. Kimberly G Sitter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1593 Spring Hill Rd Ste 705, Vienna, VA 22182 Phone: 804-207-6737
Dr. John P Allen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2009 Carriage Ct, Vienna, VA 22181 Phone: 703-281-0760 Fax: 703-281-0760

Fernando Manuel Avila, PHD - Medicare Psychologist in Vienna, VA