Angel Vivian Mbome, CRNP, PMHNP in Silver Spring, MD

Angel Vivian Mbome, CRNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Silver Spring, Maryland. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Psychogeriatric Services Llc, Psychogeriatric Services Llc and her current practice location is 801 Wayne Ave Ste G100, Silver Spring, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 615-8752.

Angel Vivian Mbome is licensed to practice in Maryland (license number R217061) 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 1811250905.

Contact Information

	Angel Vivian Mbome, CRNP, PMHNP
	801 Wayne Ave Ste G100, Silver Spring, MD 20910-4493
	(301) 615-8752
	(240) 503-3254

Map and Direction

Provider's Profile

Full Name	Angel Vivian Mbome
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	801 Wayne Ave Ste G100, Silver Spring, Maryland
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:

Angel Vivian Mbome graduated from nursing school in 2019

NPI Data:

NPI Number: 1811250905
Provider Enumeration Date: 06/22/2012
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3072944297
Enrollment ID: I20200504000083

Medical Identifiers

Medical identifiers for Angel Vivian Mbome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811250905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R217061 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychogeriatric Services Llc	6002719226	124
Psychogeriatric Services Llc	6002719226	124

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. Angel Vivian Mbome allows following entities to bill medicare on her behalf.

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803

Entity Name	Innovative Psychiatric Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043853740 PECOS PAC ID: 4284060302 Enrollment ID: O20200210002140

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. Angel Vivian Mbome 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
Angel Vivian Mbome, CRNP, PMHNP 801 Wayne Ave Ste G100, Silver Spring, MD 20910-4493 Ph: (301) 615-8752	Angel Vivian Mbome, CRNP, PMHNP 801 Wayne Ave Ste G100, Silver Spring, MD 20910-4493 Ph: (301) 615-8752

Reviews and Comments

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Giovanna Happy Tchouanto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 301-754-7000

Angel Vivian Mbome, CRNP, PMHNP - Medicare Nurse Practitioner in Silver Spring, MD