Kyss Med Spa - Medicare Primary Care in Herndon, VA

Kyss Med Spa is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Herndon, Virginia. The current practice location for Kyss Med Spa is 203 Elden St Ste 304, Herndon, Virginia. For appointments, you can reach them via phone at (703) 463-9620. The mailing address for Kyss Med Spa is 203 Elden St Ste 304, Herndon, Virginia and phone number is (703) 463-9620.

Kyss Med Spa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104553213. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (703) 463-9620.

Contact Information

Kyss Med Spa
203 Elden St Ste 304
Herndon
VA 20170-4814
(703) 463-9620
Not Available

Primary Care Clinic Profile

Full NameKyss Med Spa
SpecialityClinic/Center
Location203 Elden St Ste 304, Herndon, Virginia
Authorized Official Name and PositionHarpreet Gill (OWNER)
Authorized Official Contact7034639620
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyss Med Spa
203 Elden St Ste 304
Herndon
VA 20170-4814

Ph: (703) 463-9620
Kyss Med Spa
203 Elden St Ste 304
Herndon
VA 20170-4814

Ph: (703) 463-9620

NPI Details:

NPI Number1104553213
Provider Enumeration Date08/08/2022
Last Update Date08/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4880063254
Medicare Enrollment IDO20221206002448

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Medical Identifiers

Medical identifiers for Kyss Med Spa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104553213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kyss Med Spa acts as a billing entity for following providers:
Provider NameNicole Herberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811560972
PECOS PAC ID: 4385049121
Enrollment ID: I20210902001645

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