Mrs Beltta Gangwab Tachi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Greenbelt, Maryland. Her current practice location is
7501 Greenway Center Dr Ste 450, Greenbelt, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 432-7050.
Mrs Beltta Gangwab Tachi is licensed to practice in Maryland (license number R187251) 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 1124673777.
Healthcare Provider's Profile
Full Name | Mrs Beltta Gangwab Tachi |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 7501 Greenway Center Dr Ste 450, Greenbelt, Maryland |
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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: 1124673777
- Provider Enumeration Date: 08/08/2019
- Last Update Date: 10/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325475155
- Enrollment ID: I20200217002657
Medical Identifiers
Medical identifiers for Mrs Beltta Gangwab Tachi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124673777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | R187251 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R187251 (Maryland) | 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. Mrs Beltta Gangwab Tachi allows following entities to bill medicare on her behalf.
Entity Name | Fidelity Health Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003400821 PECOS PAC ID: 4082022983 Enrollment ID: O20210414000224 |
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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. Mrs Beltta Gangwab Tachi 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 Beltta Gangwab Tachi, 2320 Holly Spring Dr, Silver Spring, MD 20905-6403 Ph: (240) 432-7050 | Mrs Beltta Gangwab Tachi, 7501 Greenway Center Dr Ste 450, Greenbelt, MD 20770-3544 Ph: (240) 432-7050 |
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