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 |
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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. 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 | |
Hermine Michelin Henry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Pidgeon Hill Dr Ste 280, Sterling, VA 20165 Phone: 703-404-1807 | |
Shradha Pandey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46165 Westlake Dr Ste 120, Sterling, VA 20165 Phone: 703-444-3302 | |
Tuan Tran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 46725 Hollow Mountain Pl, Sterling, VA 20164 Phone: 571-451-3154 |