Ednan Mushtaq, MD - Medicare Otolaryngology in Mclean, VA

Ednan Mushtaq, MD is a medicare enrolled "Otolaryngology" physician in Mclean, Virginia. He went to Medical College Of Wisconsin and graduated in 1989 and has 35 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Privia Medical Group Llc, Privia Medical Group Llc and his current practice location is 6845 Elm Street, Suite 303, Mclean, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 448-0005.

Ednan Mushtaq is licensed to practice in Virginia (license number 0101055447) 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 1639129091.

Contact Information

Ednan Mushtaq, MD
6845 Elm Street, Suite 303,
Mclean, VA 22101
(703) 448-0005
(703) 448-0808



Physician's Profile

Full NameEdnan Mushtaq
GenderMale
SpecialityOtolaryngology
Experience35 Years
Location6845 Elm Street, Mclean, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ednan Mushtaq attended and graduated from Medical College Of Wisconsin in 1989
  NPI Data:
  • NPI Number: 1639129091
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 08/21/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9830247238
  • Enrollment ID: I20090423000048

Medical Identifiers

Medical identifiers for Ednan Mushtaq such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639129091NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 0101055447 (Virginia)Secondary
207Y00000XOtolaryngology 0101055447 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Mount Vernon HospitalAlexandria, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Llc43856820611176
Privia Medical Group Llc43856820611176

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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. Ednan Mushtaq allows following entities to bill medicare on his behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644

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Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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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. Ednan Mushtaq 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 AddressPractice Location Address
Ednan Mushtaq, MD
6845 Elm Street, Suite 303,
Mclean, VA 22101

Ph: (703) 448-0005
Ednan Mushtaq, MD
6845 Elm Street, Suite 303,
Mclean, VA 22101

Ph: (703) 448-0005

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Otolaryngology Doctors in Mclean, VA


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