Carlson Nchiazeh Nkemnkeng, NP in Brandywine, MD

Carlson Nchiazeh Nkemnkeng, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brandywine, Maryland. His current practice location is 6305 Oglethorpe Mill Dr, Brandywine, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 486-4976.

Carlson Nchiazeh Nkemnkeng is licensed to practice in Maryland (license number R210108) 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 1770848871.

Contact Information

	Carlson Nchiazeh Nkemnkeng, NP
	6305 Oglethorpe Mill Dr, Brandywine, MD 20613-5693
	(240) 486-4976
	Not Available

Map and Direction

Provider's Profile

Full Name	Carlson Nchiazeh Nkemnkeng
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	6305 Oglethorpe Mill Dr, Brandywine, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770848871
Provider Enumeration Date: 07/05/2012
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 0941654602
Enrollment ID: I20230928002482

Medical Identifiers

Medical identifiers for Carlson Nchiazeh Nkemnkeng such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770848871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	R210108 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R210108 (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. Carlson Nchiazeh Nkemnkeng allows following entities to bill medicare on his behalf.

Entity Name	Blue Sky Mental Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184204745 PECOS PAC ID: 5092124560 Enrollment ID: O20210805002212

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20231030003317

Entity Name	Spiritual Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20240223002548

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. Carlson Nchiazeh Nkemnkeng 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
Carlson Nchiazeh Nkemnkeng, NP 6305 Oglethorpe Mill Dr, Brandywine, MD 20613-5693 Ph: (240) 486-4976	Carlson Nchiazeh Nkemnkeng, NP 6305 Oglethorpe Mill Dr, Brandywine, MD 20613-5693 Ph: (240) 486-4976

Reviews and Comments

Nurse Practitioner Nurses in Brandywine, MD

Mrs. Shelley Deanna Martin, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7450 Albert Rd, Brandywine, MD 20613 Phone: 301-599-0460
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Mutiat O. Popoola, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15518 Kennett Square Way, Brandywine, MD 20613 Phone: 240-988-3779
Tamika Maxwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 110, Brandywine, MD 20613 Phone: 301-242-5699 Fax: 301-782-2221
Ms. Latoya Belton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13201 Hampton Farm Ln, Brandywine, MD 20613 Phone: 703-853-4932
Margaret Derosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 200, Brandywine, MD 20613 Phone: 301-812-3900

Carlson Nchiazeh Nkemnkeng, NP - Medicare Nurse Practitioner in Brandywine, MD