Alexandra Jade Dmuchowski, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Columbia, Maryland. Her current practice location is
8930 Stanford Blvd, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 313-3358.
Alexandra Jade Dmuchowski is licensed to practice in Maryland (license number R201206) 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 1386006567.
Physician's Profile
Full Name | Alexandra Jade Dmuchowski |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 8930 Stanford Blvd, 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. |
NPI Data:
- NPI Number: 1386006567
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486089448
- Enrollment ID: I20200121002468
Medical Identifiers
Medical identifiers for Alexandra Jade Dmuchowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386006567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | R201206 (Maryland) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 0024176680 (Virginia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | R201206 (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. Alexandra Jade Dmuchowski allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
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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. Alexandra Jade Dmuchowski 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 |
Alexandra Jade Dmuchowski, CPNP 8930 Stanford Blvd, Columbia, MD 21045-5805 Ph: () - | Alexandra Jade Dmuchowski, CPNP 8930 Stanford Blvd, Columbia, MD 21045-5805 Ph: (410) 313-3358 |
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