Lekisha Caprice Pride, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Reston, Virginia. Her current practice location is
12020 Sunrise Valley Dr Ste 100, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at
(682) 233-4155.
Lekisha Caprice Pride is licensed to practice in Mississippi (license number 906205) 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 1154106508.
Physician's Profile
| Full Name | Lekisha Caprice Pride |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 12020 Sunrise Valley Dr Ste 100, Reston, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154106508
- Provider Enumeration Date: 08/25/2023
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486005295
- Enrollment ID: I20240304003372
Medical Identifiers
Medical identifiers for Lekisha Caprice Pride such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154106508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0024190179 (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34596 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 906205 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 34596 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 906205 (Mississippi) | 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. Lekisha Caprice Pride allows following entities to bill medicare on her behalf.
| Entity Name | Wellmind, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760105431
PECOS PAC ID: 6406229285
Enrollment ID: O20230224002269 |
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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. Lekisha Caprice Pride 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 Address | Practice Location Address |
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Lekisha Caprice Pride,
1221 Harmon Rd,
Batesville, MS 38606-8630
Ph: (662) 614-7606 | Lekisha Caprice Pride,
12020 Sunrise Valley Dr Ste 100,
Reston, VA 20191-3429
Ph: (682) 233-4155 |
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