- Medicare Mental Health Clinic in Baltimore, MD

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is a medicare enrolled mental health clinic (Nurse Practitioner - Psychiatric/mental Health) in Baltimore, Maryland. The current practice location for is 821 N Charles St, Baltimore, Maryland. For appointments, you can reach them via phone at (410) 838-7810. The mailing address for is 821 N Charles St, Baltimore, Maryland and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1932968856. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 838-7810.

Contact Information

821 N Charles St
Baltimore
MD 21201-5307
(410) 838-7810
Not Available

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityNurse Practitioner
Location821 N Charles St, Baltimore, Maryland
Authorized Official Name and PositionKrystle Brown (BILLING MANAGER)
Authorized Official Contact4108709380
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

821 N Charles St
Baltimore
MD 21201-5307

Ph: () -
821 N Charles St
Baltimore
MD 21201-5307

Ph: (410) 838-7810

NPI Details:

NPI Number1932968856
Provider Enumeration Date03/14/2024
Last Update Date07/24/2024
Certification Date07/24/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3678911625
Medicare Enrollment IDO20240503003481

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932968856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NamePhyllis C Nyotta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174890735
PECOS PAC ID: 8820238264
Enrollment ID: I20130709000498
Provider NameJoseph A Dekker
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1336408947
PECOS PAC ID: 3577710714
Enrollment ID: I20160627000071
Provider NameJames Petit
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023277951
PECOS PAC ID: 4688720758
Enrollment ID: I20180717002932
Provider NameChidi R Nwachukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578031977
PECOS PAC ID: 4587907647
Enrollment ID: I20190514001425
Provider NameKaddie Kallon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427519404
PECOS PAC ID: 6608204037
Enrollment ID: I20200319000196
Provider NameSandrine Noutchia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447510375
PECOS PAC ID: 9335557024
Enrollment ID: I20210419000997
Provider NameBeserat Legesse Kibret
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578139689
PECOS PAC ID: 9234526120
Enrollment ID: I20220422002197
Provider NameKehinde Laniyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720553662
PECOS PAC ID: 0648505313
Enrollment ID: I20220517000088
Provider NameMoses Njoki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578047973
PECOS PAC ID: 9931445848
Enrollment ID: I20230608001001
Provider NameKemah Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700588092
PECOS PAC ID: 5597128728
Enrollment ID: I20231016000915
Provider NameAnyinkeng L Tazi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245591973
PECOS PAC ID: 8426404328
Enrollment ID: I20231030001488
Provider NameWalter Lewis Toller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760060636
PECOS PAC ID: 9537572839
Enrollment ID: I20231030003361
Provider NameKamal Salah H Sewaralthahab
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689939035
PECOS PAC ID: 2365757291
Enrollment ID: I20231107001185
Provider NameDocia Owusu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003571092
PECOS PAC ID: 3971951609
Enrollment ID: I20231120000735
Provider NameEvlyn Billy Eko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427756584
PECOS PAC ID: 4688022775
Enrollment ID: I20231130000403
Provider NameOluyemisi Olanike Awe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316623036
PECOS PAC ID: 0941659585
Enrollment ID: I20231208000447
Provider NameJeane Nambu Salifu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265853527
PECOS PAC ID: 5698123685
Enrollment ID: I20231212000269
Provider NameFobella Anyiji Nzobella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750164521
PECOS PAC ID: 1951741180
Enrollment ID: I20240513002538
Provider NameJennifer Laidley-kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518742949
PECOS PAC ID: 4789901034
Enrollment ID: I20240610002919
Provider NameDympna Ndelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386414480
PECOS PAC ID: 8628511979
Enrollment ID: I20240614003565
Provider NameLilian L Maboh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215296157
PECOS PAC ID: 5597208561
Enrollment ID: I20240620000406
Provider NameAbimbola C Adebayo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487335824
PECOS PAC ID: 3274971411
Enrollment ID: I20240621003367
Provider NameCarine Tajocha Amin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518724145
PECOS PAC ID: 2860834439
Enrollment ID: I20240626003122
Provider NameErnest Glenn Gorleski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548909500
PECOS PAC ID: 9436532421
Enrollment ID: I20240708001431
Provider NameYetunde Oladimeji-stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225712318
PECOS PAC ID: 0941640841
Enrollment ID: I20240709000854
Provider NameAdeline Azong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548951817
PECOS PAC ID: 5597108340
Enrollment ID: I20240716002356
Provider NameRolande Meumelieu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578902185
PECOS PAC ID: 2961848288
Enrollment ID: I20240717003582
Provider NameCeline N Fotie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043072259
PECOS PAC ID: 1153765433
Enrollment ID: I20240722001183
Provider NameErin Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043911217
PECOS PAC ID: 3870941859
Enrollment ID: I20240723001103
Provider NameSidonie Heumen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982470704
PECOS PAC ID: 9537508692
Enrollment ID: I20240808003923
Provider NameCicely Locks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215528229
PECOS PAC ID: 7517359599
Enrollment ID: I20240813003954
Provider NameNicole Queen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073238846
PECOS PAC ID: 0345694485
Enrollment ID: I20240926001765
Provider NameOmokorede Fatile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275256992
PECOS PAC ID: 7113380866
Enrollment ID: I20241007000218
Provider NameMurren Isioma Okocha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922884949
PECOS PAC ID: 9638601909
Enrollment ID: I20241011003406
Provider NameKenya Countee-johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972210821
PECOS PAC ID: 6103288691
Enrollment ID: I20241108000580
Provider NameSikirat Adekoya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366131708
PECOS PAC ID: 5496118705
Enrollment ID: I20241119002002
Provider NameLeopoldine Tchakouteu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255050019
PECOS PAC ID: 5698114262
Enrollment ID: I20241127003190

Reviews and Comments

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Phone: 410-790-8433    Fax: 443-501-3379
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Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230
Phone: 301-758-3682    
Home Free Iop
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Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201
Phone: 443-438-5239    
All Walks Of Life, Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 107 E 25th St, Baltimore, MD 21218
Phone: 410-558-0019    

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Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212
Phone: 443-873-8958    Fax: 443-873-8959
Darryl M Coleman Md Pa
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Medicare: Not Enrolled in Medicare
Practice Location: 115 N Monroe St, Baltimore, MD 21223
Phone: 443-708-4391    Fax: 443-708-4436

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.