Shiney Sam, in Bethesda, MD - Medicare Nurse Practitioner

Shiney Sam, is a medicare enrolled "Nurse Practitioner - Acute Care" in Bethesda, Maryland. Her current practice location is 8901 Wisconsin Ave, Bethesda, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 295-4000.

Shiney Sam is licensed to practice in Maryland (license number R165191) 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 1770867905.

Contact Information

	Shiney Sam,
	8901 Wisconsin Ave, Bethesda, MD 20889-0004
	(301) 295-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shiney Sam
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	8901 Wisconsin Ave, 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: 1770867905
Provider Enumeration Date: 10/06/2011
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6204094667
Enrollment ID: I20120215000337

Medical Identifiers

Medical identifiers for Shiney Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770867905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R165191 (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. Shiney Sam allows following entities to bill medicare on her behalf.

Entity Name	University Of Maryland Community Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687

Entity Name	Baltimore Washington Medical Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124016696 PECOS PAC ID: 7719879485 Enrollment ID: O20040326001160

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. Shiney Sam 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
Shiney Sam, 9710 Frederick Rd, Ellicott City, MD 21042-3714 Ph: (301) 648-0489	Shiney Sam, 8901 Wisconsin Ave, Bethesda, MD 20889-0004 Ph: (301) 295-4000

Reviews and Comments

Nurse Practitioner Nurses in Bethesda, MD

Mr. Michael S Stagliano, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Center Dr Bldg 10, Bethesda, MD 20892 Phone: 240-507-0883 Fax: 301-480-5598
Mrs. Dina L Galitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8600 Old Georgetown Rd, Bethesda, MD 20814 Phone: 301-896-2654
Mr. Hector Erazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-6400
Eliza Staley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4520 E West Hwy Ste 775, Bethesda, MD 20814 Phone: 667-668-2566
Dr. Margaret Farmar Keil, CRNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: National Institutes Of Health, Nichd, 10 Center Drive, Bldg 10 Room 1 E 3330, Bethesda, MD 20892 Phone: 301-435-3391 Fax: 301-402-1073
Olivia Marie Remsberg, CRNP-FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 Rockville Pike, Bethesda, MD 20892 Phone: 301-496-4000
Ellen Marie Townley O'gara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7809 Wisconsin Ave, Minute Clinic, Bethesda, MD 20814 Phone: 301-986-9144

Shiney Sam, - Medicare Nurse Practitioner in Bethesda, MD