Samreen Arif Ansari, MD - Medicare Internal Medicine in Fairfax, VA

Samreen Arif Ansari, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Fairfax, Virginia. Her current practice location is 3930 Pender Dr, Suite 230, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 620-6221.

Samreen Arif Ansari is licensed to practice in Virginia (license number 0101249672) 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 1295994465.

Contact Information

Samreen Arif Ansari, MD
3930 Pender Dr, Suite 230,
Fairfax, VA 22030-0985
(703) 620-6221
(703) 620-6628



Physician's Profile

Full NameSamreen Arif Ansari
GenderFemale
SpecialityInternal Medicine - Geriatric Medicine
Location3930 Pender Dr, Fairfax, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295994465
  • Provider Enumeration Date: 06/03/2008
  • Last Update Date: 07/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0345372868
  • Enrollment ID: I20120507000347

Medical Identifiers

Medical identifiers for Samreen Arif Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295994465NPI-NPPES
238636ZCDVOtherDCMEDICARE PTAN
1295994465MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 253418 (New York)Secondary
207RG0300XInternal Medicine - Geriatric Medicine 0101249672 (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. Samreen Arif Ansari allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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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. Samreen Arif Ansari 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
Samreen Arif Ansari, MD
3930 Pender Dr, Suite 230,
Fairfax, VA 22030-0985

Ph: (703) 620-6221
Samreen Arif Ansari, MD
3930 Pender Dr, Suite 230,
Fairfax, VA 22030-0985

Ph: (703) 620-6221

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Internal Medicine Doctors in Fairfax, VA

Shivangi Vachhani, M.D.
Geriatric Medicine
Medicare: Medicare Enrolled
Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033
Phone: 877-511-4625    Fax: 703-204-9006
Dr. Raymund S Cuevo, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031
Phone: 571-472-4724    Fax: 571-472-0241
Dr. Michael Maitland, M.D., PH.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031
Phone: 571-472-4724    Fax: 571-472-1601
Dr. Paul G. Rochmis, M.D.
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3027 Javier Rd, Suite 2, Fairfax, VA 22031
Phone: 703-573-2220    Fax: 703-573-7767
Aswani Kumar Suthrave, M.D.
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033
Phone: 703-391-3600    
Nader H Balba, MD
Geriatric Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031
Phone: 703-698-8960    Fax: 571-494-5794
Rona Harthill Earle,
Geriatric Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031
Phone: 703-573-4072    Fax: 703-572-2153

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