Riazul Islam, PSYD in Woodbridge, VA - Medicare Psychologist Provider

Riazul Islam, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Woodbridge, Virginia. His current practice location is 2680 Opitz Blvd Ste 220, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 497-1771.

Riazul Islam is licensed to practice in Virginia (license number 0810008546) 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 1770315715.

Contact Information

	Riazul Islam, PSYD
	2680 Opitz Blvd Ste 220, Woodbridge, VA 22192-6821
	(703) 497-1771
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Riazul Islam
Gender	Male
Speciality	Psychologist - Clinical
Location	2680 Opitz Blvd Ste 220, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770315715
Provider Enumeration Date: 08/19/2024
Last Update Date: 08/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2466977442
Enrollment ID: I20250423000118

Medical Identifiers

Medical identifiers for Riazul Islam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770315715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810008546 (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. Riazul Islam allows following entities to bill medicare on his behalf.

Entity Name	Woodbridge Therapy Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427421627 PECOS PAC ID: 0840547824 Enrollment ID: O20180723000288

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. Riazul Islam 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
Riazul Islam, PSYD 16934 Monmouth Ct, Dumfries, VA 22026-3252 Ph: (757) 705-6557	Riazul Islam, PSYD 2680 Opitz Blvd Ste 220, Woodbridge, VA 22192-6821 Ph: (703) 497-1771

Reviews and Comments

Psychologist in Woodbridge, VA

Dr. Maya M Deskins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 13000 Harbor Center Dr Ste 213, Woodbridge, VA 22192 Phone: 703-679-2539
Dr. Brian Chandler Hand, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12866 Harbor Dr, Woodbridge, VA 22192 Phone: 703-497-0282 Fax: 703-490-4906
Erika Patricia Borrayo, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Jennifer Clements, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4301 Stretton Farm Ct, Woodbridge, VA 22192 Phone: 248-704-4751
Dr. Mark L Paris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12584 Darby Brook Ct, Woodbridge, VA 22192 Phone: 793-431-3940
Dr. Tracy Palmer, PSYD, MPH Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12884 Harbor Dr Ste A, Woodbridge, VA 22192 Phone: 703-972-5851
Dr. William Joseph Stejskal, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192 Phone: 703-680-4200 Fax: 703-680-5011

Riazul Islam, PSYD - Medicare Psychologist in Woodbridge, VA