Carine Gouetso Ndeko, CRNP-ADULT in Clinton, MD

Carine Gouetso Ndeko, CRNP-ADULT is a medicare enrolled "Nurse Practitioner - Primary Care" in Clinton, Maryland. Her current practice location is 9135 Piscataway Rd, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 868-2555.

Carine Gouetso Ndeko is licensed to practice in Maryland (license number R196845) 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 1306321443.

Contact Information

	Carine Gouetso Ndeko, CRNP-ADULT
	9135 Piscataway Rd, Clinton, MD 20735-2549
	(301) 868-2555
	Not Available

Map and Direction

Provider's Profile

Full Name	Carine Gouetso Ndeko
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	9135 Piscataway Rd, Clinton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306321443
Provider Enumeration Date: 09/25/2018
Last Update Date: 09/25/2018

Medicare PECOS Information:

PECOS PAC ID: 3476921339
Enrollment ID: I20221125000375

Medical Identifiers

Medical identifiers for Carine Gouetso Ndeko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306321443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	R196845 (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. Carine Gouetso Ndeko allows following entities to bill medicare on her behalf.

Entity Name	Krystal Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164604187 PECOS PAC ID: 8426247339 Enrollment ID: O20110107000538

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. Carine Gouetso Ndeko 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
Carine Gouetso Ndeko, CRNP-ADULT 23 Joyceton Ter, Upper Marlboro, MD 20774-1490 Ph: (301) 213-3306	Carine Gouetso Ndeko, CRNP-ADULT 9135 Piscataway Rd, Clinton, MD 20735-2549 Ph: (301) 868-2555

Reviews and Comments

Nurse Practitioner Nurses in Clinton, MD

Margarate Melima Nesoa I, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4104 Ethan Thomas Dr, Clinton, MD 20735 Phone: 301-728-0662 Fax: 301-434-4450
Mrs. Yata Haja Bazzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9409 Stream Valley Ln, Clinton, MD 20735 Phone: 240-475-4161 Fax: 240-318-2001
Miss Ivanna Plymouth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4656
Dawn Alicia Williams, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10908 Sir Paul Pl, Clinton, MD 20735 Phone: 240-464-8230
Taoheed Kasumu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3202 Kirkpatrick Ct, Clinton, MD 20735 Phone: 213-238-8040
Hana Teka Kelele, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7700 Old Branch Ave Ste E101, Clinton, MD 20735 Phone: 240-244-1679
Aldene Doyle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9135 Piscataway Rd Ste 420, Clinton, MD 20735 Phone: 301-868-2555

Carine Gouetso Ndeko, CRNP-ADULT - Medicare Nurse Practitioner in Clinton, MD