Mrs Dusuba Mmah Koroma, MA in Tewksbury, MA - Medicare Counselor Provider

Mrs Dusuba Mmah Koroma, MA is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Tewksbury, Massachusetts. Her current practice location is 170 Main St # G4-g8, Tewksbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 348-9041.

Mrs Dusuba Mmah Koroma is licensed to practice in Massachusetts (license number 13060) 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 1063780997.

Contact Information

	Mrs Dusuba Mmah Koroma, MA
	170 Main St # G4-g8, Tewksbury, MA 01876-1765
	(781) 348-9041
	(978) 455-0274

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dusuba Mmah Koroma
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	170 Main St # G4-g8, Tewksbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063780997
Provider Enumeration Date: 12/06/2011
Last Update Date: 02/15/2022

Medicare PECOS Information:

PECOS PAC ID: 7012352347
Enrollment ID: I20240227001301

Medical Identifiers

Medical identifiers for Mrs Dusuba Mmah Koroma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063780997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	13060 (Massachusetts)	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 Dusuba Mmah Koroma allows following entities to bill medicare on her behalf.

Entity Name	Total Wellness Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153

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 Dusuba Mmah Koroma 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 Dusuba Mmah Koroma, MA 17 Dawn Ave, Merrimack, NH 03054-4253 Ph: (603) 579-9916	Mrs Dusuba Mmah Koroma, MA 170 Main St # G4-g8, Tewksbury, MA 01876-1765 Ph: (781) 348-9041

Reviews and Comments

Counselor in Tewksbury, MA

Ms. Felice De Ruggiero, LICSW, LADC-1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 East St, Tewksbury, MA 01876 Phone: 978-863-5068 Fax: 978-863-5091
Hayley Pare, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 East St, Tewksbury, MA 01876 Phone: 978-259-4642
Mariah Warren, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 East St, Tewksbury, MA 01876 Phone: 978-858-3776
Raul Saenz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 East St Unit C2, Tewksbury, MA 01876 Phone: 617-445-1123 Fax: 857-547-1186
Ms. Victoria Leigh Carey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 East Street, Special Building, Tewksbury, MA 01876 Phone: 978-851-0790 Fax: 978-851-5218
Sherin Aygun, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 East St, Tewksbury, MA 01876 Phone: 857-293-2005

Mrs Dusuba Mmah Koroma, MA - Medicare Counselor in Tewksbury, MA