Mrs Alicja Erazo Sundblade, FNP-C in Charlotte, NC

Mrs Alicja Erazo Sundblade, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charlotte, North Carolina. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forsyth Medical Group, Llc and her current practice location is 1918 Randolph Rd, Suite 350, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 384-1750.

Mrs Alicja Erazo Sundblade is licensed to practice in North Carolina (license number 5006468) 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 1184059958.

Contact Information

	Mrs Alicja Erazo Sundblade, FNP-C
	1918 Randolph Rd, Suite 350, Charlotte, NC 28207-1100
	(704) 384-1750
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Alicja Erazo Sundblade
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	1918 Randolph Rd, Charlotte, North Carolina
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:

Mrs Alicja Erazo Sundblade graduated from nursing school in 2013

NPI Data:

NPI Number: 1184059958
Provider Enumeration Date: 09/11/2013
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 3678709649
Enrollment ID: I20131121000862

Medical Identifiers

Medical identifiers for Mrs Alicja Erazo Sundblade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184059958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	229325 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5006468 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forsyth Medical Group, Llc	3678478054	21

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. Mrs Alicja Erazo Sundblade allows following entities to bill medicare on her behalf.

Entity Name	Forsyth Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750081378 PECOS PAC ID: 3678478054 Enrollment ID: O20031201000123

Entity Name	Matthews Internal Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528376712 PECOS PAC ID: 8729273180 Enrollment ID: O20101110001218

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. Mrs Alicja Erazo Sundblade 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
Mrs Alicja Erazo Sundblade, FNP-C Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840	Mrs Alicja Erazo Sundblade, FNP-C 1918 Randolph Rd, Suite 350, Charlotte, NC 28207-1100 Ph: (704) 384-1750

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Solim Tchedre, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Randolph Rd Ste 800, Charlotte, NC 28207 Phone: 704-384-1246 Fax: 704-384-6072

Mrs Alicja Erazo Sundblade, FNP-C - Medicare Nurse Practitioner in Charlotte, NC