Ms Calli Jean Van Dam, AGPCNP in Bethesda, MD

Ms Calli Jean Van Dam, AGPCNP is a medicare enrolled "Nurse Practitioner" in Bethesda, Maryland. Her current practice location is 10215 Fernwood Rd, Ste 506, Bethesda, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 530-1010.

Ms Calli Jean Van Dam is licensed to practice in District Of Columbia (license number RN1032619) 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 1205201035.

Contact Information

	Ms Calli Jean Van Dam, AGPCNP
	10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184
	(301) 530-1010
	(301) 897-8597

Map and Direction

Provider's Profile

Full Name	Ms Calli Jean Van Dam
Gender	Female
Speciality	Nurse Practitioner
Location	10215 Fernwood Rd, Bethesda, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205201035
Provider Enumeration Date: 12/04/2015
Last Update Date: 03/05/2019

Medicare PECOS Information:

PECOS PAC ID: 0446555643
Enrollment ID: I20160225002538

Medical Identifiers

Medical identifiers for Ms Calli Jean Van Dam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205201035	NPI	-	NPPES
0024175551	Other	VA	LICENSE
AC002241	Other	MD	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN1032619 (District Of Columbia)	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. Ms Calli Jean Van Dam allows following entities to bill medicare on her behalf.

Entity Name	Ortho-trauma Bethesda, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134366461 PECOS PAC ID: 5698832822 Enrollment ID: O20090415000035

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. Ms Calli Jean Van Dam 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
Ms Calli Jean Van Dam, AGPCNP 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 Ph: (301) 530-1010	Ms Calli Jean Van Dam, AGPCNP 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 Ph: (301) 530-1010

Reviews and Comments

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Ms Calli Jean Van Dam, AGPCNP - Medicare Nurse Practitioner in Bethesda, MD