| Ms Susan Collins, | |
|
46440 Benedict Dr Ste 111, Sterling, VA 20164-6602 | |
| (844) 893-0012 | |
| Not Available |
| Full Name | Ms Susan Collins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 46440 Benedict Dr Ste 111, Sterling, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205116373 | NPI | - | NPPES |
| AC004950 | Other | MD | MBON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 0024185264 (Virginia) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | AC004950 (Maryland) | Secondary |
| Entity Name | Twelvestone Infusion Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447764857 PECOS PAC ID: 6800151424 Enrollment ID: O20210720003609 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Collins, 12875 Mosaic Park Way Unit B, Herndon, VA 20171-5426 Ph: (844) 893-0012 | Ms Susan Collins, 46440 Benedict Dr Ste 111, Sterling, VA 20164-6602 Ph: (844) 893-0012 |
Rachel Anna Katter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165 Phone: 914-844-3720 | |
Ms. Roya Zarnegar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Edds Ln, Sterling, VA 20165 Phone: 703-568-6062 | |
Ms. Laurel Ann Blymyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46440 Benedict Drive, Suite 107, Sterling, VA 20164 Phone: 703-450-1125 Fax: 703-450-1145 | |
Ava Nazemian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46000 Center Oak Plz # 190, Sterling, VA 20166 Phone: 703-430-4343 | |
Charlotte Lane, F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46200 Potomac Run Plz, Sterling, VA 20164 Phone: 571-313-5087 | |
Georgina Rose Chidaushe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12332 Towncenter Plz Ste 649, Sterling, VA 20164 Phone: 571-946-6502 Fax: 571-376-6743 | |
Hermine Michelin Henry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Pidgeon Hill Dr Ste 280, Sterling, VA 20165 Phone: 703-404-1807 |