Alberta Koosono Adu, CNP in Waltham, MA - Medicare Nurse Practitioner

Alberta Koosono Adu, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waltham, Massachusetts. Her current practice location is 303 Wyman St Ste 300, Waltham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 354-8183.

Alberta Koosono Adu is licensed to practice in Massachusetts (license number RN2344956) 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 1528722451.

Contact Information

	Alberta Koosono Adu, CNP
	303 Wyman St Ste 300, Waltham, MA 02451-1255
	(774) 354-8183
	(617) 915-8935

Map and Direction

Provider's Profile

Full Name	Alberta Koosono Adu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	303 Wyman St Ste 300, Waltham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528722451
Provider Enumeration Date: 10/27/2021
Last Update Date: 06/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8628432192
Enrollment ID: I20230918000100

Medical Identifiers

Medical identifiers for Alberta Koosono Adu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528722451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2344956 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2344956 (Massachusetts)	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. Alberta Koosono Adu allows following entities to bill medicare on her behalf.

Entity Name	Martha's Vineyard Community Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659387074 PECOS PAC ID: 4385552496 Enrollment ID: O20041214000373

Entity Name	Devens Treatment & Recovery Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811473267 PECOS PAC ID: 8123319498 Enrollment ID: O20181004001566

Entity Name	Holyoke Capital Jv, Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1649856618 PECOS PAC ID: 7517373079 Enrollment ID: O20220502001683

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. Alberta Koosono Adu 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
Alberta Koosono Adu, CNP 303 Wyman St Ste 300, Waltham, MA 02451-1255 Ph: (774) 354-8183	Alberta Koosono Adu, CNP 303 Wyman St Ste 300, Waltham, MA 02451-1255 Ph: (774) 354-8183

Reviews and Comments

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Alberta Koosono Adu, CNP - Medicare Nurse Practitioner in Waltham, MA