Mrs Sandra Kelley Wieland, CRNP-PMH in Cambridge, MD

Mrs Sandra Kelley Wieland, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cambridge, Maryland. Her current practice location is 813 Chesapeake Dr Ste 1, Cambridge, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 221-2266.

Mrs Sandra Kelley Wieland is licensed to practice in Maryland (license number R038366) 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 1164622254.

Contact Information

	Mrs Sandra Kelley Wieland, CRNP-PMH
	813 Chesapeake Dr Ste 1, Cambridge, MD 21613-9405
	(410) 221-2266
	(410) 221-2878

Map and Direction

Provider's Profile

Full Name	Mrs Sandra Kelley Wieland
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	813 Chesapeake Dr Ste 1, Cambridge, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164622254
Provider Enumeration Date: 07/18/2007
Last Update Date: 05/13/2019

Medicare PECOS Information:

PECOS PAC ID: 8426107582
Enrollment ID: I20090519000650

Medical Identifiers

Medical identifiers for Mrs Sandra Kelley Wieland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164622254	NPI	-	NPPES
479302100	Medicaid	MD
415081300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RO38366 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R038366 (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. Mrs Sandra Kelley Wieland allows following entities to bill medicare on her behalf.

Entity Name	Channel Marker Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164639209 PECOS PAC ID: 0143475509 Enrollment ID: O20130311000121

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 Sandra Kelley Wieland 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 Sandra Kelley Wieland, CRNP-PMH 813 Chesapeake Dr Ste 1, Cambridge, MD 21613-9405 Ph: (410) 221-2266	Mrs Sandra Kelley Wieland, CRNP-PMH 813 Chesapeake Dr Ste 1, Cambridge, MD 21613-9405 Ph: (410) 221-2266

Reviews and Comments

Nurse Practitioner Nurses in Cambridge, MD

Brittany Gowe, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 713 Cambridge Marketplace Blvd Ste 2-900c, Cambridge, MD 21613 Phone: 443-225-7512
Mrs. Jovonne Chandler Osborne, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 503 Muir St Ste A, Cambridge, MD 21613 Phone: 410-228-4045 Fax: 833-908-2286
Chelcie Lecompte, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 Sunburst Hwy, Cambridge, MD 21613 Phone: 667-327-0228 Fax: 410-822-9513
Yeyin Chen, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 503 Byrn St, Cambridge, MD 21613 Phone: 410-221-7770 Fax: 410-221-7863
Lisa Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Bramble St, Cambridge, MD 21613 Phone: 410-228-4616
Mr. Stephen C Andrews, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Byrn St, Cambridge, MD 21613 Phone: 410-228-5511 Fax: 410-228-1061

Mrs Sandra Kelley Wieland, CRNP-PMH - Medicare Nurse Practitioner in Cambridge, MD