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SECURE ONLINE BILL PAYMENT: Xpress Pay It! https://pay.xpress-pay.com/org/D020C2AEA4234B3

Please print and email the consent form to our office email: mpc.mathur@gmail.com

Consent Form
(571) 379-8827/8828
Manassas Primary Care PROVIDERS: Navdeep Mathur, MD
FOR ONLINE APPOINTMENTS OR BOOK THROUGH OUR WEBSITE BELOW

Insurance & Forms

We accept the following insurances:
  • Aetna (except Aetna Better Health)
  • Cigna (Except a few plans, such as Cigna Connect)
  • VA Medicaid
  • Anthem Health Keepers/Plus
  • Care First Blue Cross
  • Blue Cross/Blue Shield
  • Tricare
  • Coventry
  • Optima Choice
  • United (only PPO, NOT HMO)
  • Medicare and most medicare advantage
  • Humana
  • Molina healthcare
We also accept payments by cash, check, or credit cards.
For self-pay patients, our consultation fee is $130 plus an additional fee if blood work or other services are provided.
PLEASE VERIFY WITH YOUR INSURANCE COMPANY THAT WE ARE IN YOUR NETWORK. WE MAY ACCEPT YOUR INSURANCE; HOWEVER, THERE ARE HUNDREDS OF "PLANS" WITHIN YOUR INSURANCE, AND WITH SOME OF THOSE "PLANS" WE MAY BE OUT OF NETWORK. THAT MEANS A HIGHER OUT OF POCKET COST OF YOU. THE BEST METHOD TO MAKE SURE THAT WE ARE IN-NETWORK WITH YOUR PLAN IS FOR YOU TO CALL YOUR INSURANCE COMPANY AND GET THEM THE VERIFY THAT WE ARE IN-NETWORK FOR YOUR PARTICULAR PLAN WITHIN YOUR INSURANCE.

Online Forms

Please follow the links provided below:
  • Release of Medical Records
  • Screening Questionnaire for Adult Immunizations
  • Patient Registration Form
  • Patient Registration Form En Español
  • HIPAA Form
  • HEALTH HISTORY
Contact our office in Manassas, Virginia, for your preventative health needs.
Manassas Primary Care, LLC
Home | About Us | Services | Health Insurance Providers & Forms | Location / Contact Us | Patient Portal
8428 Dorsey Circle, Suite 101, Manassas VA 20110-8302
Phone: (571) 379-8827 Phone: (571) 379-8828 Fax: (888) 224-4936
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