Benjamin Sussman Roberts, CRNP in Baltimore, MD

Benjamin Sussman Roberts, CRNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Baltimore, Maryland. His current practice location is 5200 Eastern Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 550-7196.

Benjamin Sussman Roberts is licensed to practice in Maryland (license number R228052) 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 1518633486.

Contact Information

	Benjamin Sussman Roberts, CRNP
	5200 Eastern Ave, Baltimore, MD 21224-2734
	(410) 550-7196
	Not Available

Map and Direction

Provider's Profile

Full Name	Benjamin Sussman Roberts
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	5200 Eastern Ave, 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: 1518633486
Provider Enumeration Date: 08/19/2021
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 3375932379
Enrollment ID: I20211112001441

Medical Identifiers

Medical identifiers for Benjamin Sussman Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518633486	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	PENDING (Maryland)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R228052 (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. Benjamin Sussman Roberts allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689009045 PECOS PAC ID: 4981745098 Enrollment ID: O20131111000166

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. Benjamin Sussman Roberts 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
Benjamin Sussman Roberts, CRNP 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-2704	Benjamin Sussman Roberts, CRNP 5200 Eastern Ave, Baltimore, MD 21224-2734 Ph: (410) 550-7196

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

Benjamin Sussman Roberts, CRNP - Medicare Nurse Practitioner in Baltimore, MD