Angela Fetty, in Baltimore, MD - Medicare Nurse Practitioner

Angela Fetty, is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Baltimore, Maryland. Her current practice location is 22 S Greene St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 328-6453.

Angela Fetty is licensed to practice in Maryland (license number R197016) 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 1093128530.

Contact Information

	Angela Fetty,
	22 S Greene St, Baltimore, MD 21201-1544
	(410) 328-6453
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Fetty
Gender	Female
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	22 S Greene St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093128530
Provider Enumeration Date: 06/03/2014
Last Update Date: 04/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7517188113
Enrollment ID: I20160419001548

Medical Identifiers

Medical identifiers for Angela Fetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093128530	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	R197016 (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. Angela Fetty allows following entities to bill medicare on her behalf.

Entity Name	Emergency Medicine Associates Pa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283

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. Angela Fetty 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
Angela Fetty, 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-6453	Angela Fetty, 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-6453

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Angela Fetty, - Medicare Nurse Practitioner in Baltimore, MD