Bryonna Douglas, PMHNP-BC - Medicare Nurse Practitioner in Bryans Road, MD

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Bryonna Douglas, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bryans Road, Maryland. Her current practice location is 3024 Coriander Pl, Bryans Road, Maryland. You can reach out to her office (for appointments etc.) via phone at (808) 722-2865.

Bryonna Douglas is licensed to practice in Maryland (license number R262900) 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 1265175202.

Contact Information

Bryonna Douglas, PMHNP-BC
3024 Coriander Pl,
Bryans Road, MD 20616-7048
(808) 722-2865
Not Available

Map and Direction




Provider's Profile

Full NameBryonna Douglas
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3024 Coriander Pl, Bryans Road, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265175202
  • Provider Enumeration Date: 04/18/2022
  • Last Update Date: 09/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446605380
  • Enrollment ID: I20231011004262

Medical Identifiers

Medical identifiers for Bryonna Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265175202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 0001301512 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024185517 (Virginia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R262900 (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. Bryonna Douglas allows following entities to bill medicare on her behalf.
Entity NameColumbia Associates In Psychiatry Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699012930
PECOS PAC ID: 7113165739
Enrollment ID: O20211209000419

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. Bryonna Douglas 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 AddressPractice Location Address
Bryonna Douglas, PMHNP-BC
8288 Tabor Ln,
Fairfax Station, VA 22039-3057

Ph: (808) 722-2865		Bryonna Douglas, PMHNP-BC
3024 Coriander Pl,
Bryans Road, MD 20616-7048

Ph: (808) 722-2865

Reviews and Comments


Nurse Practitioner Nurses in Bryans Road, MD


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.