Nardos Mitiku Zeleke, FNP-C - Medicare Nurse Practitioner in Woodbridge, VA

Nardos Mitiku Zeleke, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Woodbridge, Virginia. Her current practice location is 2296 Opitz Blvd Ste 130, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 523-0660.

Nardos Mitiku Zeleke is licensed to practice in Virginia (license number 0024184243) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427787902.

Contact Information

Nardos Mitiku Zeleke, FNP-C
2296 Opitz Blvd Ste 130,
Woodbridge, VA 22191-3344
(703) 523-0660
(571) 542-9965



Physician's Profile

Full NameNardos Mitiku Zeleke
GenderFemale
SpecialityNurse Practitioner
Location2296 Opitz Blvd Ste 130, Woodbridge, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427787902
  • Provider Enumeration Date: 06/09/2022
  • Last Update Date: 09/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436508520
  • Enrollment ID: I20231214002675

Medical Identifiers

Medical identifiers for Nardos Mitiku Zeleke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427787902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0024184243 (Virginia)Secondary
363L00000XNurse Practitioner 0024184243 (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. Nardos Mitiku Zeleke allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466

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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. Nardos Mitiku Zeleke 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
Nardos Mitiku Zeleke, FNP-C
11 Gray Birch Ln,
Stafford, VA 22554-6837

Ph: () -
Nardos Mitiku Zeleke, FNP-C
2296 Opitz Blvd Ste 130,
Woodbridge, VA 22191-3344

Ph: (703) 523-0660

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