Dr Eddie Emanuel Nance, MD is a medicare enrolled "Family Medicine" physician in Indian Head, Maryland. His current practice location is
4141 W Wilson Rd Bldg 1600, Indian Head, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 744-4602.
Dr Eddie Emanuel Nance is licensed to practice in Virginia (license number 0101263150) 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 1881057032.
Physician's Profile
Full Name | Dr Eddie Emanuel Nance |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 4141 W Wilson Rd Bldg 1600, Indian Head, 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: 1881057032
- Provider Enumeration Date: 04/04/2016
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305105792
- Enrollment ID: I20210127001803
Medical Identifiers
Medical identifiers for Dr Eddie Emanuel Nance such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881057032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 83353 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 0101263150 (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. Dr Eddie Emanuel Nance allows following entities to bill medicare on his behalf.
Entity Name | Glutality Provider Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200929001456 |
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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. Dr Eddie Emanuel Nance 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 |
Dr Eddie Emanuel Nance, MD 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640-5162 Ph: () - | Dr Eddie Emanuel Nance, MD 4141 W Wilson Rd Bldg 1600, Indian Head, MD 20640-5162 Ph: (301) 744-4602 |
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