Dieudonne Metombe, LPN in Lanham, MD - Medicare Nurse Practitioner

Dieudonne Metombe, LPN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lanham, Maryland. His current practice location is 9906 Stall Ave, Lanham, Maryland. You can reach out to his office (for appointments etc.) via phone at (513) 371-2802.

Dieudonne Metombe is licensed to practice in Maryland (license number R227138) 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 1457610263.

Contact Information

	Dieudonne Metombe, LPN
	9906 Stall Ave, Lanham, MD 20706-2379
	(513) 371-2802
	Not Available

Map and Direction

Provider's Profile

Full Name	Dieudonne Metombe
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9906 Stall Ave, Lanham, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457610263
Provider Enumeration Date: 05/14/2012
Last Update Date: 02/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8729461918
Enrollment ID: I20220822002674

Medical Identifiers

Medical identifiers for Dieudonne Metombe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457610263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164W00000X	Licensed Practical Nurse	135231 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R227138 (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. Dieudonne Metombe allows following entities to bill medicare on his behalf.

Entity Name	Hope For Living Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730813353 PECOS PAC ID: 7810370004 Enrollment ID: O20220822001191

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. Dieudonne Metombe 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
Dieudonne Metombe, LPN 9906 Stall Ave, Lanham, MD 20706-2379 Ph: (513) 371-2802	Dieudonne Metombe, LPN 9906 Stall Ave, Lanham, MD 20706-2379 Ph: (513) 371-2802

Reviews and Comments

Nurse Practitioner Nurses in Lanham, MD

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Dieudonne Metombe, LPN - Medicare Nurse Practitioner in Lanham, MD