Ms Kristin Dermody Maggi, PA-C - Medicare Physician Assistant in Fairfax, VA

Ms Kristin Dermody Maggi, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fairfax, Virginia. Her current practice location is 3700 Joseph Siewick Dr, Suite 308, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 698-8960.

Ms Kristin Dermody Maggi is licensed to practice in Virginia (license number 0110003427) 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 1003126285.

Contact Information

Ms Kristin Dermody Maggi, PA-C
3700 Joseph Siewick Dr, Suite 308,
Fairfax, VA 22033-1744
(703) 698-8960
(703) 716-8703



Provider's Profile

Full NameMs Kristin Dermody Maggi
GenderFemale
SpecialityPhysician Assistant - Medical
Location3700 Joseph Siewick 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: 1003126285
  • Provider Enumeration Date: 10/20/2010
  • Last Update Date: 06/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1557546058
  • Enrollment ID: I20150715002163

Medical Identifiers

Medical identifiers for Ms Kristin Dermody Maggi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003126285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110003427 (Virginia)Primary
363AM0700XPhysician Assistant - Medical 0010-02818 (North Carolina)Secondary
363AM0700XPhysician Assistant - Medical MA056117 (Pennsylvania)Secondary

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. Ms Kristin Dermody Maggi 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
Ms Kristin Dermody Maggi, PA-C
3700 Joseph Siewick Dr, Suite 308,
Fairfax, VA 22033-1744

Ph: (703) 698-8960
Ms Kristin Dermody Maggi, PA-C
3700 Joseph Siewick Dr, Suite 308,
Fairfax, VA 22033-1744

Ph: (703) 698-8960

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Physician Assistant Nurses in Fairfax, VA

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Danielle M Eganhouse, P.A.- C
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Phone: 703-359-8640    Fax: 703-591-6105

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