Nwamaka Tagbo Fadahunsi, MD is a medicare enrolled "Urology" physician in Halethorpe, Maryland. She went to Geisel School Of Medicine At Dartmouth and graduated in 2005 and has 19 years of diverse experience with area of expertise as Urology. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is
1701 Twin Springs Rd, Halethorpe, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 737-5340.
Nwamaka Tagbo Fadahunsi is licensed to practice in Maryland (license number D0072000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619128659.
Physician's Profile
Full Name | Nwamaka Tagbo Fadahunsi |
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Gender | Female |
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Speciality | Urology |
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Experience | 19 Years |
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Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nwamaka Tagbo Fadahunsi attended and graduated from Geisel School Of Medicine At Dartmouth in 2005
NPI Data:
- NPI Number: 1619128659
- Provider Enumeration Date: 10/08/2008
- Last Update Date: 06/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658543335
- Enrollment ID: I20111003000447
Medical Identifiers
Medical identifiers for Nwamaka Tagbo Fadahunsi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619128659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | D0072000 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc | 3779495858 | 1628 |
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. Nwamaka Tagbo Fadahunsi allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
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Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
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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. Nwamaka Tagbo Fadahunsi 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 |
Nwamaka Tagbo Fadahunsi, MD 2101 E Jefferson St, Rockville, MD 20852-4908 Ph: () - | Nwamaka Tagbo Fadahunsi, MD 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (410) 737-5340 |
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