Mr Sosthene Mballa Ndomo, NP - Medicare Licensed Practical Nurse in Alexandria, VA

Mr Sosthene Mballa Ndomo, NP is a medicare enrolled "Licensed Practical Nurse" in Alexandria, Virginia. His current practice location is 6463 Rockshire Ct, Alexandria, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 208-6962.

Mr Sosthene Mballa Ndomo is licensed to practice in Virginia (license number 0024182625) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750050522.

Contact Information

Mr Sosthene Mballa Ndomo, NP
6463 Rockshire Ct,
Alexandria, VA 22315-3428
(571) 208-6962
Not Available



Provider's Profile

Full NameMr Sosthene Mballa Ndomo
GenderMale
SpecialityLicensed Practical Nurse
Location6463 Rockshire Ct, Alexandria, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750050522
  • Provider Enumeration Date: 09/07/2021
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6406238302
  • Enrollment ID: I20220809000009

Medical Identifiers

Medical identifiers for Mr Sosthene Mballa Ndomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750050522NPI-NPPES
0024182625OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 0024182625 (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. Mr Sosthene Mballa Ndomo allows following entities to bill medicare on his behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20110104000695

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Entity NameNova Critical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275289563
PECOS PAC ID: 6800273731
Enrollment ID: O20220516001995

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› Verified 8 days ago

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. Mr Sosthene Mballa Ndomo 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 AddressPractice Location Address
Mr Sosthene Mballa Ndomo, NP
6463 Rockshire Ct,
Alexandria, VA 22315-3428

Ph: (571) 208-6962
Mr Sosthene Mballa Ndomo, NP
6463 Rockshire Ct,
Alexandria, VA 22315-3428

Ph: (571) 208-6962

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The National Institutes of Health (NIH) will hold a State-of-the-Science Conference on Management of Menopause-Related Symptoms, March 21-23, 2005, at the Natcher Conference Center on the NIH campus in Bethesda, Maryland.

Read more News

› Verified 8 days ago


Licensed Practical Nurse Nurses in Alexandria, VA

Milva Mccallum, NP
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Belle Haven Rd, Ste 110, Alexandria, VA 22307
Phone: 703-765-6093    Fax: 703-765-7761
Brenda Nakato,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5800 Quantrell Ave, Alexandria, VA 22312
Phone: 240-476-3073    
Josephine Nwalipenja,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5250 Valley Forge Dr Apt 407, Alexandria, VA 22304
Phone: 240-478-0363    
Ms. Saffie Deen, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 8850 Richmond Hwy, 200, Alexandria, VA 22309
Phone: 703-704-7004    Fax: 703-799-1053
Ms. Evangeline Chinwe Gaines,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 85 S Bragg St # 401, Alexandria, VA 22312
Phone: 703-814-5106    
Ms. Michelle Yvonne Stevens, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2355a Mill Rd, Alexandria, VA 22314
Phone: 703-838-4525    Fax: 703-519-6505
Stella Nancy Morgan-bendu, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5568 General Washington Dr Ste A201, Alexandria, VA 22312
Phone: 571-295-6991    

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