Dr Courtney M Subudhi, DNP, CNM, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Manakin Sabot, Virginia. Her current practice location is
42 Broad Street Rd Ste 1012, Manakin Sabot, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 376-5319.
Dr Courtney M Subudhi is licensed to practice in Virginia (license number 0024173593) 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 1669886578.
Provider's Profile
| Full Name | Dr Courtney M Subudhi |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 42 Broad Street Rd Ste 1012, Manakin Sabot, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669886578
- Provider Enumeration Date: 06/18/2014
- Last Update Date: 06/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 2466672241
- Enrollment ID: I20160825000131
Medical Identifiers
Medical identifiers for Dr Courtney M Subudhi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669886578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5021909 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | TPAN3132 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024173593 (Virginia) | Secondary |
| 367A00000X | Advanced Practice Midwife | 0024173593 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | TPAN3132 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5021909 (North Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024173593 (Virginia) | 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. Dr Courtney M Subudhi allows following entities to bill medicare on her behalf.
| Entity Name | Dominion Women's Health, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932289592 PECOS PAC ID: 1456327824 Enrollment ID: O20040907001241 |
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| Entity Name | Obhg Virginia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972807394 PECOS PAC ID: 9436323342 Enrollment ID: O20111110000430 |
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| Entity Name | Dhp Of Virginia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992060255 PECOS PAC ID: 8820247752 Enrollment ID: O20121009000318 |
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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. Dr Courtney M Subudhi 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 |
Dr Courtney M Subudhi, DNP, CNM, FNP, PMHNP 42 Broad Street Rd Ste 1012, Manakin Sabot, VA 23103-2213 Ph: (804) 376-5319 | Dr Courtney M Subudhi, DNP, CNM, FNP, PMHNP 42 Broad Street Rd Ste 1012, Manakin Sabot, VA 23103-2213 Ph: (804) 376-5319 |
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