Kwasi A Debra, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Glenn Dale, Maryland. He graduated from medical school in 1984 and has 41 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
12200 Annapolis Rd, Ste 123, Glenn Dale, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 552-9495.
Kwasi A Debra is licensed to practice in Maryland (license number D0040683) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972512408.
Physician's Profile
Full Name | Kwasi A Debra |
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Gender | Male |
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Speciality | Obstetrics/gynecology |
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Experience | 41 Years |
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Location | 12200 Annapolis Rd, Glenn Dale, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kwasi A Debra graduated from medical school in 1984
NPI Data:
- NPI Number: 1972512408
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 04/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 0547221988
- Enrollment ID: I20041021000154
Medical Identifiers
Medical identifiers for Kwasi A Debra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972512408 | NPI | - | NPPES |
1026004806 | Other | MD | CIGNA |
925694 | Other | MD | MAMSI |
H9050001 | Other | MD | BLUECROSS BLUESHIELD |
52507102 | Other | MD | CAREFIRST BC BS OF MD |
4561470 | Other | MD | AETNA |
703633 | Other | MD | UNITED HEALTHCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | D0040683 (Maryland) | Primary |
207V00000X | Obstetrics & Gynecology | MD20163 (District Of Columbia) | Secondary |
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. Kwasi A Debra allows following entities to bill medicare on his behalf.
Entity Name | Maryland Specialty Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114362845 PECOS PAC ID: 9931347747 Enrollment ID: O20130605000617 |
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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. Kwasi A Debra 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 |
Kwasi A Debra, MD 12200 Annapolis Rd, Ste 123, Glenn Dale, MD 20769-9182 Ph: (301) 552-9495 | Kwasi A Debra, MD 12200 Annapolis Rd, Ste 123, Glenn Dale, MD 20769-9182 Ph: (301) 552-9495 |
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