Chidiadi Agoh, in Lutherville, MD - Medicare Nurse Practitioner

Chidiadi Agoh, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lutherville, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifebridge Community Physicians Inc, Adventist Physician Services Inc and her current practice location is 1447 York Rd Ste 506, Lutherville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 825-2281.

Chidiadi Agoh is licensed to practice in Maryland (license number R185364) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710370945.

Contact Information

	Chidiadi Agoh,
	1447 York Rd Ste 506, Lutherville, MD 21093-6022
	(410) 825-2281
	Not Available

Map and Direction

Provider's Profile

Full Name	Chidiadi Agoh
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1447 York Rd Ste 506, Lutherville, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chidiadi Agoh graduated from nursing school in 2018

NPI Data:

NPI Number: 1710370945
Provider Enumeration Date: 03/12/2015
Last Update Date: 07/25/2019

Medicare PECOS Information:

PECOS PAC ID: 7618296351
Enrollment ID: I20150501000682

Medical Identifiers

Medical identifiers for Chidiadi Agoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710370945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R185364 (Maryland)	Primary
363LF0000X	Nurse Practitioner - Family	R185364 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Levindale Hebrew Geriatric Center And Hospital	Baltimore, MD	Hospital
Adventist Healthcare White Oak Medical Center	Silver spring, MD	Hospital
Adventist Healthcare Fort Washington Medical Ctr	Fort washington, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifebridge Community Physicians Inc	3678751468	185

Adventist Physician Services Inc	4284631540	131

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. Chidiadi Agoh allows following entities to bill medicare on her behalf.

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532

Entity Name	Lifebridge Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318

Entity Name	Windrush Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124404421 PECOS PAC ID: 5890002224 Enrollment ID: O20150917002164

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. Chidiadi Agoh 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
Chidiadi Agoh, 6110 Main St, Lanham, MD 20706-2749 Ph: (301) 731-9888	Chidiadi Agoh, 1447 York Rd Ste 506, Lutherville, MD 21093-6022 Ph: (410) 825-2281

Reviews and Comments

Nurse Practitioner Nurses in Lutherville, MD

Mrs. Joanne Elizabeth Desmond, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Suite 260, Lutherville, MD 21093 Phone: 410-583-2955
Ms. Nelli Zafman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10753 Falls Rd, Suite 145, Lutherville, MD 21093 Phone: 410-583-2970
Dr. Michael Nwandu, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 York Rd Ste 601, Lutherville, MD 21093 Phone: 443-442-4818 Fax: 410-650-9053
Mrs. Marye Kellermann, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Blondell Ct, Lutherville, MD 21093 Phone: 410-494-0398 Fax: 410-494-1445
Rebecca Millison, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Westspring Way, Lutherville, MD 21093 Phone: 443-465-6937
Kayla Mardaga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 York Rd Ste 30d, Lutherville, MD 21093 Phone: 443-519-2128
Erica P. Cerquetti, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Pot Spring Road, Mercy Ridge Inc., Lutherville, MD 21093 Phone: 410-561-0200

Chidiadi Agoh, - Medicare Nurse Practitioner in Lutherville, MD