Edward Dua Amponsem, in Woodbridge, VA - Medicare Nurse Anesthetist, Certified Registered

Edward Dua Amponsem, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Woodbridge, Virginia. His current practice location is 2300 Opitz Blvd, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 670-1313.

Edward Dua Amponsem is licensed to practice in Virginia (license number 0024189142) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477329456.

Contact Information

	Edward Dua Amponsem,
	2300 Opitz Blvd, Woodbridge, VA 22191-3311
	(703) 670-1313
	Not Available

Map and Direction

Provider's Profile

Full Name	Edward Dua Amponsem
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2300 Opitz Blvd, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477329456
Provider Enumeration Date: 11/30/2023
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9830534866
Enrollment ID: I20240229003463

Medical Identifiers

Medical identifiers for Edward Dua Amponsem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477329456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024189142 (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. Edward Dua Amponsem allows following entities to bill medicare on his behalf.

Entity Name	Surgical Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161

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. Edward Dua Amponsem 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
Edward Dua Amponsem, 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: () -	Edward Dua Amponsem, 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: (703) 670-1313

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Woodbridge, VA

Dorothy Lorraine Shackleford, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3963 Hartlake St, Woodbridge, VA 22192 Phone: 703-590-2019
Robyn Camille Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-583-3087
Mrs. Jennifer Schmid Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Claire Caine Garvey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Steven Paul Kelsch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2300 Opiz Blvd., Woodbridge, VA 22191 Phone: 703-670-1313
Tieya Whites, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-2075
Libby Oldenburg, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000

Edward Dua Amponsem, - Medicare Nurse Anesthetist, Certified Registered in Woodbridge, VA