Micky Santos, MSN, CRNP in Lexington Park, MD

Micky Santos, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lexington Park, Maryland. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medstar Medical Group Ii Llc and her current practice location is 22483 Olde Hewitt Rd, Lexington Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (808) 631-8231.

Micky Santos is licensed to practice in Maryland (license number R242901) 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 1144037177.

Contact Information

	Micky Santos, MSN, CRNP
	22483 Olde Hewitt Rd, Lexington Park, MD 20653-2068
	(808) 631-8231
	Not Available

Map and Direction

Provider's Profile

Full Name	Micky Santos
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	22483 Olde Hewitt Rd, Lexington Park, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Micky Santos graduated from nursing school in 2024

NPI Data:

NPI Number: 1144037177
Provider Enumeration Date: 12/12/2024
Last Update Date: 02/20/2025

Medicare PECOS Information:

PECOS PAC ID: 2668990714
Enrollment ID: I20250513002410

Medical Identifiers

Medical identifiers for Micky Santos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144037177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R242901 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Saint Mary's Hospital	Leonardtown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	2998

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. Micky Santos allows following entities to bill medicare on her behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347

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. Micky Santos 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
Micky Santos, MSN, CRNP 22483 Olde Hewitt Rd, Lexington Park, MD 20653-2068 Ph: () -	Micky Santos, MSN, CRNP 22483 Olde Hewitt Rd, Lexington Park, MD 20653-2068 Ph: (808) 631-8231

Reviews and Comments

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Micky Santos, MSN, CRNP - Medicare Nurse Practitioner in Lexington Park, MD