Carine Gouetso Ndeko, CRNP-ADULT in Glen Burnie, MD

Carine Gouetso Ndeko, CRNP-ADULT is a medicare enrolled "Nurse Practitioner - Primary Care" in Glen Burnie, Maryland. Her current practice location is 200 Hospital Dr # 300, Glen Burnie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 837-2050.

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
	200 Hospital Dr # 300, Glen Burnie, MD 21061-5884
	(410) 837-2050
	Not Available

Map and Direction

Provider's Profile

Full Name	Carine Gouetso Ndeko
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	200 Hospital Dr # 300, Glen Burnie, 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: 11/15/2024

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	Unity Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093894172 PECOS PAC ID: 3476647264 Enrollment ID: O20071024000456

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 1111 N Charles St, Baltimore, MD 21201-5505 Ph: (410) 837-2050	Carine Gouetso Ndeko, CRNP-ADULT 200 Hospital Dr # 300, Glen Burnie, MD 21061-5884 Ph: (410) 837-2050

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434

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