Thomas J Krisanda, MD in Randallstown, MD - Medicare Emergency Medicine

Thomas J Krisanda, MD is a medicare enrolled "Emergency Medicine" physician in Randallstown, Maryland. His current practice location is 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 521-5950.

Thomas J Krisanda is licensed to practice in Maryland (license number D0053345) 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 1770648370.

Contact Information

	Thomas J Krisanda, MD
	5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133
	(410) 521-5950
	(410) 828-6004

Map and Direction

Physician's Profile

Full Name	Thomas J Krisanda
Gender	Male
Speciality	Emergency Medicine
Location	5401 Old Court Road, Randallstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770648370
Provider Enumeration Date: 12/26/2006
Last Update Date: 04/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2466585930
Enrollment ID: I20100804000504

Medical Identifiers

Medical identifiers for Thomas J Krisanda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770648370	NPI	-	NPPES
246601500	Medicaid	MD
75859901	Other	MD	BLUE SHIELD
930078599	Other	MD	RAILROAD MED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD043477E (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	MD-043477-E (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	D0053345 (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. Thomas J Krisanda allows following entities to bill medicare on his behalf.

Entity Name	Mep Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164483558 PECOS PAC ID: 5193610319 Enrollment ID: O20050105000930

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558

Entity Name	Mep Observation Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093003550 PECOS PAC ID: 2365611845 Enrollment ID: O20110818000338

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262

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. Thomas J Krisanda 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
Thomas J Krisanda, MD 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 Ph: (410) 521-5950	Thomas J Krisanda, MD 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 Ph: (410) 521-5950

Reviews and Comments

Emergency Medicine Doctors in Randallstown, MD

Debra Freeman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950
Dr. Jennifer Ann Yorke, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Northwest Hospital Emergency Dept, Randallstown, MD 21133 Phone: 410-521-5950
Aminat Ibikunle, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Dr. Jonathan Sidney Thierman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950
Dr. Michael De Wit, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950
Ryleigh Marie Etzweiler, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 000-000-0000

Thomas J Krisanda, MD - Medicare Emergency Medicine in Randallstown, MD