Micky Santos, MSN, CRNP in Lexington Park, MD

Micky Santos, MSN, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lexington Park, Maryland. 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 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 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 - Acute Care
Location	22483 Olde Hewitt Rd, Lexington Park, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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