Sheeja Mole Kolencherry Augustine, - Medicare Nurse Practitioner in Moseley, VA

Sheeja Mole Kolencherry Augustine, is a medicare enrolled "Nurse Practitioner" in Moseley, Virginia. Her current practice location is 5936 Sterlingworth Dr, Moseley, Virginia. You can reach out to her office (for appointments etc.) via phone at (570) 702-7849.

Sheeja Mole Kolencherry Augustine is licensed to practice in Virginia (license number 0024191443) 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 1801616941.

Contact Information

Sheeja Mole Kolencherry Augustine,
5936 Sterlingworth Dr,
Moseley, VA 23120-0049
(570) 702-7849
Not Available

Map and Direction




Provider's Profile

Full NameSheeja Mole Kolencherry Augustine
GenderFemale
SpecialityNurse Practitioner
Location5936 Sterlingworth Dr, Moseley, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801616941
  • Provider Enumeration Date: 10/14/2024
  • Last Update Date: 10/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820521891
  • Enrollment ID: I20241029003053

Medical Identifiers

Medical identifiers for Sheeja Mole Kolencherry Augustine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801616941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 0024191443 (Virginia)Secondary
363L00000XNurse Practitioner 0024191443 (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. Sheeja Mole Kolencherry Augustine allows following entities to bill medicare on her behalf.
Entity NameClark Alliance Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952892028
PECOS PAC ID: 8325475981
Enrollment ID: O20200221000372
Entity NameClark Palliative Medicine Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417680612
PECOS PAC ID: 6901289461
Enrollment ID: O20220816001022

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. Sheeja Mole Kolencherry Augustine 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 AddressPractice Location Address
Sheeja Mole Kolencherry Augustine,
5936 Sterlingworth Dr,
Moseley, VA 23120-0049

Ph: (570) 702-7849
Sheeja Mole Kolencherry Augustine,
5936 Sterlingworth Dr,
Moseley, VA 23120-0049

Ph: (570) 702-7849

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.