Dr Alice Susan Bidwell, CNS is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Reston, Virginia. Dr Alice Susan Bidwell is licensed to practice in Virginia (license number 0015000280) and her current practice location is
11250 Roger Bacon Dr, Suite 12, Reston, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 424-0461.
NPI number for Dr Alice Susan Bidwell is 1689753089 and her current mailing address is 11250 Roger Bacon Dr, Suite 12, Reston, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689753089.
Provider's Profile
| Full Name | Dr Alice Susan Bidwell |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 11250 Roger Bacon Dr, Reston, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689753089
- Provider Enumeration Date: 11/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Alice Susan Bidwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689753089 | NPI | - | NPPES |
| 5510241 | Medicaid | VA | |
| 239232 | Other | VA | ANTHEM BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 0015000280 (Virginia) | Primary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0015000280 (Virginia) | Primary |
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. Dr Alice Susan Bidwell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alice Susan Bidwell, CNS
11250 Roger Bacon Dr, Suite 12,
Reston, VA 20190-5219
Ph: (703) 424-0461 | Dr Alice Susan Bidwell, CNS
11250 Roger Bacon Dr, Suite 12,
Reston, VA 20190-5219
Ph: (703) 424-0461 |
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