Amanda Marie Sallberg, in Purcellville, VA - Medicare Nurse Practitioner

Amanda Marie Sallberg, is a medicare enrolled "Nurse Practitioner - Family" in Purcellville, Virginia. Her current practice location is 200 North Maple Avenue, Purcellville, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 338-0177.

Amanda Marie Sallberg is licensed to practice in Virginia (license number 0024188783) 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 1295597672.

Contact Information

	Amanda Marie Sallberg,
	200 North Maple Avenue, Purcellville, VA 20132-6100
	(540) 338-0177
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Marie Sallberg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 North Maple Avenue, Purcellville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295597672
Provider Enumeration Date: 01/30/2024
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 2567800774
Enrollment ID: I20240408001791

Medical Identifiers

Medical identifiers for Amanda Marie Sallberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295597672	NPI	-	NPPES
30017805730001	Medicaid	VA
1295597672	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024188783 (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. Amanda Marie Sallberg allows following entities to bill medicare on her behalf.

Entity Name	Loudoun Medical Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474

Entity Name	Baby Doc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174004774 PECOS PAC ID: 7719397587 Enrollment ID: O20201105001954

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. Amanda Marie Sallberg 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
Amanda Marie Sallberg, 224-d Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6010	Amanda Marie Sallberg, 200 North Maple Avenue, Purcellville, VA 20132-6100 Ph: (540) 338-0177

Reviews and Comments

Nurse Practitioner Nurses in Purcellville, VA

Maria Michelle Soriano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466
Rochelle Maguire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 East Hirst Road, Suite 302, Purcellville, VA 20132 Phone: 540-338-7065 Fax: 540-338-9482
Zorodzai Gutu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Maple Ave, Purcellville, VA 20132 Phone: 540-338-0032 Fax: 540-338-0176
Mark Richard Rugarber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466
Mrs. Kelsey R Alford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hirst Rd, Purcellville, VA 20132 Phone: 703-226-2290 Fax: 703-289-1420
Amberleigh Ruth Winn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 Phone: 540-338-9896 Fax: 540-338-8235

Amanda Marie Sallberg, - Medicare Nurse Practitioner in Purcellville, VA