Sandra Kolb, NP - Medicare Nurse Practitioner in Fayetteville, NC

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Sandra Kolb, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Fayetteville, North Carolina. Her current practice location is 413 Owen Dr Ste 101, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 491-3947.

Sandra Kolb is licensed to practice in North Carolina (license number 5014996) 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 1790452076.

Contact Information

Sandra Kolb, NP
413 Owen Dr Ste 101,
Fayetteville, NC 28304-3490
(910) 491-3947
(910) 491-5691

Map and Direction




Physician's Profile

Full NameSandra Kolb
GenderFemale
SpecialityNurse Practitioner - Family
Location413 Owen Dr Ste 101, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790452076
  • Provider Enumeration Date: 08/25/2021
  • Last Update Date: 02/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163829508
  • Enrollment ID: I20210927003443

Medical Identifiers

Medical identifiers for Sandra Kolb such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790452076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 0024182510 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 5014996 (North Carolina)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. Sandra Kolb allows following entities to bill medicare on her behalf.
Entity NameRenew Counseling Center Of Nc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528470325
PECOS PAC ID: 7315224680
Enrollment ID: O20170516000477
Entity NamePai Participant 29, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245813757
PECOS PAC ID: 6002216215
Enrollment ID: O20210609002615
Entity NameUniversal Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407117625
PECOS PAC ID: 5597912626
Enrollment ID: O20230124003094

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. Sandra Kolb 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
Sandra Kolb, NP
413 Owen Dr Ste 101,
Fayetteville, NC 28304-3490

Ph: (910) 491-3947		Sandra Kolb, NP
413 Owen Dr Ste 101,
Fayetteville, NC 28304-3490

Ph: (910) 491-3947

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.