Sydonie Bongam, DNP, PMHNP-BC, FNP-C in Purcellville, VA

Sydonie Bongam, DNP, PMHNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Purcellville, Virginia. Her current practice location is 201 N Maple Ave Unit 200, Purcellville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 662-5899.

Sydonie Bongam is licensed to practice in Virginia (license number 0024176878) 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 1881169415.

Contact Information

	Sydonie Bongam, DNP, PMHNP-BC, FNP-C
	201 N Maple Ave Unit 200, Purcellville, VA 20132-6102
	(703) 662-5899
	Not Available

Map and Direction

Provider's Profile

Full Name	Sydonie Bongam
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	201 N Maple Ave Unit 200, Purcellville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881169415
Provider Enumeration Date: 10/10/2018
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9638080252
Enrollment ID: I20190218000413

Medical Identifiers

Medical identifiers for Sydonie Bongam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881169415	NPI	-	NPPES
R200143	Other	MD	AANP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024176878 (Virginia)	Primary
363LF0000X	Nurse Practitioner - Family	R200143 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP1035308 (District Of Columbia)	Secondary

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. Sydonie Bongam allows following entities to bill medicare on her behalf.

Entity Name	Ravi Passi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447229281 PECOS PAC ID: 4284615931 Enrollment ID: O20160419002328

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. Sydonie Bongam 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
Sydonie Bongam, DNP, PMHNP-BC, FNP-C 15962 Paynes Farm Dr, Haymarket, VA 20169-8189 Ph: () -	Sydonie Bongam, DNP, PMHNP-BC, FNP-C 201 N Maple Ave Unit 200, Purcellville, VA 20132-6102 Ph: (703) 662-5899

Reviews and Comments

Nurse Practitioner Nurses in Purcellville, VA

Maria Michelle Soriano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466
Rochelle Maguire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 East Hirst Road, Suite 302, Purcellville, VA 20132 Phone: 540-338-7065 Fax: 540-338-9482
Zorodzai Gutu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Maple Ave, Purcellville, VA 20132 Phone: 540-338-0032 Fax: 540-338-0176
Amanda Marie Sallberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 North Maple Avenue, Purcellville, VA 20132 Phone: 540-338-0177
Mark Richard Rugarber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 203, Purcellville, VA 20132 Phone: 540-751-0255 Fax: 540-751-0466
Mrs. Kelsey R Alford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hirst Rd, Purcellville, VA 20132 Phone: 703-226-2290 Fax: 703-289-1420
Amberleigh Ruth Winn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 Phone: 540-338-9896 Fax: 540-338-8235

Sydonie Bongam, DNP, PMHNP-BC, FNP-C - Medicare Nurse Practitioner in Purcellville, VA