Sandra Kolb, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Fayetteville, North Carolina. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Universal Health Corporation, Pai Participant 29 Pc and her current practice location is
413 Owen Dr Ste 101, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 491-3947.
Sandra Kolb is licensed to practice in North Carolina (license number 5014996) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790452076.
Physician's Profile
| Full Name | Sandra Kolb |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 413 Owen Dr Ste 101, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sandra Kolb graduated from medical school in 2021
NPI Data:
- NPI Number: 1790452076
- Provider Enumeration Date: 08/25/2021
- Last Update Date: 02/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163829508
- Enrollment ID: I20210927003443
Medical Identifiers
Medical identifiers for Sandra Kolb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790452076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0300X | Internal Medicine - Geriatric Medicine | 0024182510 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5014996 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Universal Health Corporation | 5597912626 | 81 |
| Pai Participant 29 Pc | 6002216215 | 2 |
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. Sandra Kolb allows following entities to bill medicare on her behalf.
| Entity Name | Renew Counseling Center Of Nc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528470325
PECOS PAC ID: 7315224680
Enrollment ID: O20170516000477 |
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| Entity Name | Pai Participant 29 Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245813757
PECOS PAC ID: 6002216215
Enrollment ID: O20210609002615 |
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| Entity Name | Universal Health Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407117625
PECOS PAC ID: 5597912626
Enrollment ID: O20230124003094 |
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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. Sandra Kolb 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 |
|---|
Sandra Kolb, NP
413 Owen Dr Ste 101,
Fayetteville, NC 28304-3490
Ph: (910) 491-3947 | Sandra Kolb, NP
413 Owen Dr Ste 101,
Fayetteville, NC 28304-3490
Ph: (910) 491-3947 |
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