Mrs Amber Dise, in Woodbridge, VA - Medicare Nurse Practitioner

Mrs Amber Dise, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Woodbridge, Virginia. Her current practice location is 12572 Plymouth Ct, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 492-4740.

Mrs Amber Dise is licensed to practice in Virginia (license number 0024184766) 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 1427345867.

Contact Information

	Mrs Amber Dise,
	12572 Plymouth Ct, Woodbridge, VA 22192-2321
	(703) 492-4740
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amber Dise
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12572 Plymouth Ct, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427345867
Provider Enumeration Date: 07/06/2011
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1658734983
Enrollment ID: I20230901003430

Medical Identifiers

Medical identifiers for Mrs Amber Dise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427345867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001179853 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024184766 (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. Mrs Amber Dise 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
Mrs Amber Dise, 12572 Plymouth Ct, Woodbridge, VA 22192-2321 Ph: (703) 498-7684	Mrs Amber Dise, 12572 Plymouth Ct, Woodbridge, VA 22192-2321 Ph: (703) 492-4740

Reviews and Comments

Nurse Practitioner Nurses in Woodbridge, VA

Yasmine Mounia Kletter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Potomac Center Office, 2296 Opitz Blvd, Ste. 300, Woodbridge, VA 22191 Phone: 703-523-0998
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Elia Tessera, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5523 Neddleton Ave, Woodbridge, VA 22193 Phone: 703-989-3169
Ellie Camille Mulville, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 866-934-7450
Kathryn Wingo Burns, RN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13001 Summit School Rd # A, Woodbridge, VA 22192 Phone: 703-494-4811

Mrs Amber Dise, - Medicare Nurse Practitioner in Woodbridge, VA