Dr Molly Elizabeth Dale, CRNP-FAMILY is a medicare enrolled "Nurse Practitioner - Primary Care" in Deal Island, Maryland. Her current practice location is
10120 Teal Ln, Deal Island, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 202-9941.
Dr Molly Elizabeth Dale is licensed to practice in Maryland (license number R222703) 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 1427788470.
Provider's Profile
Full Name | Dr Molly Elizabeth Dale |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 10120 Teal Ln, Deal Island, Maryland |
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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: 1427788470
- Provider Enumeration Date: 06/13/2022
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456705268
- Enrollment ID: I20230928000007
Medical Identifiers
Medical identifiers for Dr Molly Elizabeth Dale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427788470 | NPI | - | NPPES |
R222703 | Other | MD | CRNP-FAMILY LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | R222703 (Maryland) | 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. Dr Molly Elizabeth Dale allows following entities to bill medicare on her behalf.
Entity Name | Sailwinds Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417660606 PECOS PAC ID: 6901271717 Enrollment ID: O20230410001511 |
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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. Dr Molly Elizabeth Dale 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 |
Dr Molly Elizabeth Dale, CRNP-FAMILY 10120 Teal Ln, Deal Island, MD 21821-1507 Ph: (410) 202-9941 | Dr Molly Elizabeth Dale, CRNP-FAMILY 10120 Teal Ln, Deal Island, MD 21821-1507 Ph: (410) 202-9941 |
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