Ms Sandra Ann Wells, MSN RN CNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Burke, Virginia. Her current practice location is
5999 Burke Commons Rd, 3rd Floor, Burke, Virginia. You can reach out to her office (for appointments etc.) via phone at
(703) 249-7219.
Ms Sandra Ann Wells is licensed to practice in Virginia (license number 0015000672) 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 1154485498.
Provider's Profile
| Full Name | Ms Sandra Ann Wells |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 5999 Burke Commons Rd, Burke, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154485498
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 06/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850438045
- Enrollment ID: I20091020000658
Medical Identifiers
Medical identifiers for Ms Sandra Ann Wells such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154485498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 0001104385 (Virginia) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0015000672 (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. Ms Sandra Ann Wells allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308 |
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| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20110104000935 |
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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. Ms Sandra Ann Wells 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 |
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Ms Sandra Ann Wells, MSN RN CNS
2101 E Jefferson St, Kaiser Permanente Medicare Enrollment,
Rockville, MD 20852-4908
Ph: (301) 816-2424 | Ms Sandra Ann Wells, MSN RN CNS
5999 Burke Commons Rd, 3rd Floor,
Burke, VA 22015-2880
Ph: (703) 249-7219 |
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