Gissella Mana, is a medicare enrolled "Nurse Practitioner - Acute Care" provider in Columbia, Maryland. Her current practice location is
5526 Green Dory Ln, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 640-8687.
Gissella Mana is licensed to practice in Maryland (license number R218563) 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 1033473582.
Healthcare Provider's Profile
| Full Name | Gissella Mana |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 5526 Green Dory Ln, Columbia, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033473582
- Provider Enumeration Date: 06/29/2012
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810390622
- Enrollment ID: I20210730000105
Medical Identifiers
Medical identifiers for Gissella Mana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033473582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1301X | Dietitian, Registered - Nutrition, Oncology | RN1039408 (District Of Columbia) | Secondary |
| 163W00000X | Registered Nurse | R218563 (Maryland) | Secondary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | R218563 (Maryland) | Secondary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN1039408 (District Of Columbia) | Secondary |
| 163WM0705X | Registered Nurse - Medical-surgical | RN1039408 (District Of Columbia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN1039408 (District Of Columbia) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (District Of Columbia) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | R218563 (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. Gissella Mana allows following entities to bill medicare on her behalf.
| Provider Name | Wellness Health Services Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033685953
PECOS PAC ID: 2567709322
Enrollment ID: O20190201000022 |
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| Provider Name | Kampieda Health Care Agency Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336739929
PECOS PAC ID: 2466841093
Enrollment ID: O20230802000017 |
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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. Gissella Mana 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 |
|---|
Gissella Mana,
5526 Green Dory Ln,
Columbia, MD 21044-1915
Ph: (301) 640-8687 | Gissella Mana,
5526 Green Dory Ln,
Columbia, MD 21044-1915
Ph: (301) 640-8687 |
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