Tanzania Vicino, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Baltimore, Maryland. Her current practice location is
3319 W Belvedere Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 542-7800.
Tanzania Vicino is licensed to practice in Maryland (license number R190581) 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 1306980073.
Physician's Profile
Full Name | Tanzania Vicino |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3319 W Belvedere Ave, Baltimore, 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: 1306980073
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 02/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103909213
- Enrollment ID: I20080213000312
Medical Identifiers
Medical identifiers for Tanzania Vicino such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306980073 | NPI | - | NPPES |
AC000422 | Other | MD | RN LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | AC000422 (Maryland) | Secondary |
367A00000X | Advanced Practice Midwife | R190581 (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. Tanzania Vicino allows following entities to bill medicare on her behalf.
Entity Name | St Paul Place Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
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Entity Name | University Of Maryland Community Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
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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. Tanzania Vicino 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 |
Tanzania Vicino, CNM 3319 W Belvedere Ave, Baltimore, MD 21215-5103 Ph: (410) 542-7800 | Tanzania Vicino, CNM 3319 W Belvedere Ave, Baltimore, MD 21215-5103 Ph: (410) 542-7800 |
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