Arlene Vergara, - Medicare Nurse Practitioner in Martinsburg, WV

Arlene Vergara, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Martinsburg, West Virginia. Her current practice location is 99 Tavern Rd, Martinsburg, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 263-4999.

Arlene Vergara is licensed to practice in West Virginia (license number 118367) 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 1528832276.

Contact Information

Arlene Vergara,
99 Tavern Rd,
Martinsburg, WV 25401-2890
(304) 263-4999
Not Available

Map and Direction




Provider's Profile

Full NameArlene Vergara
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location99 Tavern Rd, Martinsburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528832276
  • Provider Enumeration Date: 11/13/2023
  • Last Update Date: 02/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507201126
  • Enrollment ID: I20240305001363

Medical Identifiers

Medical identifiers for Arlene Vergara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528832276NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health R199695 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 118367 (West 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. Arlene Vergara allows following entities to bill medicare on her behalf.
Entity NameShenandoah Valley Medical System, Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1083617823
PECOS PAC ID: 9739093097
Enrollment ID: O20031119000556

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. Arlene Vergara 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
Arlene Vergara,
Po Box 60,
Fairplay, MD 21733-0060

Ph: (202) 670-7317
Arlene Vergara,
99 Tavern Rd,
Martinsburg, WV 25401-2890

Ph: (304) 263-4999

Reviews and Comments


Nurse Practitioner Nurses in Martinsburg, WV

Mary Lynne Perkins, CRNP
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Medicare: Not Enrolled in Medicare
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Phone: 304-263-4927    Fax: 304-263-0682
Matthew Greeley, PMHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 235 S Water St, Martinsburg, WV 25401
Phone: 304-263-8954    
Pamela Campbell, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1004 Sushruta Dr, Ste A, Martinsburg, WV 25401
Phone: 304-449-3778    
Molly Anna Quinn, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 299 Medical Ct, Martinsburg, WV 25401
Phone: 304-596-6343    Fax: 304-263-4449
Dr. Annie Marie Thrift Mann, DNP, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 120 Campus Dr Ste 101, Martinsburg, WV 25404
Phone: 681-247-1250    Fax: 681-247-1251
Mrs. Kenya Darshell Dottery, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 510 Butler Ave, Martinsburg, WV 25405
Phone: 304-263-0811    
Lori Prunty,
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Medicare: Medicare Enrolled
Practice Location: 510 Butler Ave, Martinsburg, WV 25405
Phone: 240-385-2156    

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.