Lynne Marie Colombo, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Suffolk, Virginia. Her current practice location is
2800 Godwin Blvd Fl 1, Suffolk, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 934-4821.
Lynne Marie Colombo is licensed to practice in Virginia (license number 0024182454) 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 1972225399.
Physician's Profile
Full Name | Lynne Marie Colombo |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 2800 Godwin Blvd Fl 1, Suffolk, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972225399
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244602209
- Enrollment ID: I20230221001681
Medical Identifiers
Medical identifiers for Lynne Marie Colombo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972225399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 0024182454 (Virginia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 0024182454 (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. Lynne Marie Colombo allows following entities to bill medicare on her behalf.
Entity Name | Sentara Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
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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. Lynne Marie Colombo 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 |
Lynne Marie Colombo, AGACNP 2800 Godwin Blvd Fl 1, Suffolk, VA 23434-8038 Ph: (757) 934-4821 | Lynne Marie Colombo, AGACNP 2800 Godwin Blvd Fl 1, Suffolk, VA 23434-8038 Ph: (757) 934-4821 |
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