Caitlin Fong, in Ellicott City, MD - Medicare Nurse Practitioner

Caitlin Fong, is a medicare enrolled "Nurse Practitioner - Family" in Ellicott City, Maryland. Her current practice location is 2850 N Ridge Rd Ste 103, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 465-8119.

Caitlin Fong is licensed to practice in Maryland (license number R239194) 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 1154029213.

Contact Information

	Caitlin Fong,
	2850 N Ridge Rd Ste 103, Ellicott City, MD 21043-3396
	(410) 465-8119
	Not Available

Map and Direction

Provider's Profile

Full Name	Caitlin Fong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2850 N Ridge Rd Ste 103, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154029213
Provider Enumeration Date: 02/20/2023
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0345691119
Enrollment ID: I20240105000494

Medical Identifiers

Medical identifiers for Caitlin Fong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154029213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R239194 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R239194 (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. Caitlin Fong allows following entities to bill medicare on her behalf.

Entity Name	Seton Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144409194 PECOS PAC ID: 7416037924 Enrollment ID: O20080122000384

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. Caitlin Fong 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
Caitlin Fong, 2850 N Ridge Rd Ste 103, Ellicott City, MD 21043-3396 Ph: (410) 465-8119	Caitlin Fong, 2850 N Ridge Rd Ste 103, Ellicott City, MD 21043-3396 Ph: (410) 465-8119

Reviews and Comments

Nurse Practitioner Nurses in Ellicott City, MD

Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700
Wafa Nachifa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7668 Blueberry Hill Ln, Ellicott City, MD 21043 Phone: 240-517-1179
Virginia Sine, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2502 River Ridge Trl, Ellicott City, MD 21043 Phone: 410-336-1269

Caitlin Fong, - Medicare Nurse Practitioner in Ellicott City, MD