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

Fernando Manuel Avila, PHD is a medicare enrolled "Psychologist - Clinical" provider in Vienna, Virginia. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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	Psychologist - Clinical
Location	2671 Avenir Pl, 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: 1962783464
Provider Enumeration Date: 08/29/2011
Last Update Date: 01/28/2020

Medicare PECOS Information:

PECOS PAC ID: 8628345386
Enrollment ID: I20170731001335

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

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	Inova Health Care Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935

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

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
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
Alison Corbett Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-4928 Fax: 703-242-0014
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
Katharina Kircanski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1595 Spring Hill Rd Ste 520, Vienna, VA 22182 Phone: 703-687-6610
Ms. Nida Ittayem Amal, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-2657

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