Mr Sosthene Mballa Ndomo, NP in Alexandria, VA - Medicare Licensed Practical Nurse

Mr Sosthene Mballa Ndomo, NP is a medicare enrolled "Licensed Practical Nurse" in Alexandria, Virginia. His current practice location is 6463 Rockshire Ct, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 208-6962.

Mr Sosthene Mballa Ndomo is licensed to practice in Virginia (license number 0024182625) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750050522.

Contact Information

	Mr Sosthene Mballa Ndomo, NP
	6463 Rockshire Ct, Alexandria, VA 22315-3428
	(571) 208-6962
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sosthene Mballa Ndomo
Gender	Male
Speciality	Licensed Practical Nurse
Location	6463 Rockshire Ct, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750050522
Provider Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021

Medicare PECOS Information:

PECOS PAC ID: 6406238302
Enrollment ID: I20220809000009

Medical Identifiers

Medical identifiers for Mr Sosthene Mballa Ndomo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750050522	NPI	-	NPPES
0024182625	Other	VA	VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	0024182625 (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. Mr Sosthene Mballa Ndomo allows following entities to bill medicare on his behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000695

Entity Name	Nova Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275289563 PECOS PAC ID: 6800273731 Enrollment ID: O20220516001995

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. Mr Sosthene Mballa Ndomo 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
Mr Sosthene Mballa Ndomo, NP 6463 Rockshire Ct, Alexandria, VA 22315-3428 Ph: (571) 208-6962	Mr Sosthene Mballa Ndomo, NP 6463 Rockshire Ct, Alexandria, VA 22315-3428 Ph: (571) 208-6962

Reviews and Comments

Licensed Practical Nurse Nurses in Alexandria, VA

Milva Mccallum, NP Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1451 Belle Haven Rd, Ste 110, Alexandria, VA 22307 Phone: 703-765-6093 Fax: 703-765-7761
Brenda Nakato, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5800 Quantrell Ave, Alexandria, VA 22312 Phone: 240-476-3073
Josephine Nwalipenja, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5250 Valley Forge Dr Apt 407, Alexandria, VA 22304 Phone: 240-478-0363
Ms. Saffie Deen, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8850 Richmond Hwy, 200, Alexandria, VA 22309 Phone: 703-704-7004 Fax: 703-799-1053
Ms. Evangeline Chinwe Gaines, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 S Bragg St # 401, Alexandria, VA 22312 Phone: 703-814-5106
Ms. Michelle Yvonne Stevens, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4850 Mark Center Dr, Alexandria, VA 22311 Phone: 703-746-3400 Fax: 703-519-6505
Stella Nancy Morgan-bendu, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5568 General Washington Dr Ste A201, Alexandria, VA 22312 Phone: 571-295-6991

Mr Sosthene Mballa Ndomo, NP - Medicare Licensed Practical Nurse in Alexandria, VA