Mary E Fontana-penn, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Nottingham, Maryland. Her current practice location is
7939 Honeygo Blvd, Suite 219, Nottingham, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 931-0404.
Mary E Fontana-penn is licensed to practice in Maryland (license number D0069408) 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 1750367074.
Physician's Profile
Full Name | Mary E Fontana-penn |
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Gender | Female |
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Speciality | Allergy & Immunology - Allergy |
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Location | 7939 Honeygo Blvd, Nottingham, 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: 1750367074
- Provider Enumeration Date: 12/19/2005
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800932237
- Enrollment ID: I20201116000143
Medical Identifiers
Medical identifiers for Mary E Fontana-penn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750367074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | D0069408 (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. Mary E Fontana-penn allows following entities to bill medicare on her behalf.
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
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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. Mary E Fontana-penn 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 |
Mary E Fontana-penn, MD 5430 Campbell Blvd Ste 103, White Marsh, MD 21162-5503 Ph: (410) 933-9404 | Mary E Fontana-penn, MD 7939 Honeygo Blvd, Suite 219, Nottingham, MD 21236-4931 Ph: (410) 931-0404 |
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