Douglas Nana Brobbey, in Ellicott City, MD - Medicare Nurse Practitioner

Douglas Nana Brobbey, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellicott City, Maryland. His current practice location is 3000 N Ridge Rd, Ellicott City, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 461-7577.

Douglas Nana Brobbey is licensed to practice in Maryland (license number R223153) 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 1467152256.

Contact Information

	Douglas Nana Brobbey,
	3000 N Ridge Rd, Ellicott City, MD 21043-3311
	(410) 461-7577
	Not Available

Map and Direction

Provider's Profile

Full Name	Douglas Nana Brobbey
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3000 N Ridge Rd, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467152256
Provider Enumeration Date: 03/09/2023
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1052779311
Enrollment ID: I20230617000244

Medical Identifiers

Medical identifiers for Douglas Nana Brobbey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467152256	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	R223153 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R223153 (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. Douglas Nana Brobbey allows following entities to bill medicare on his behalf.

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Spiritual Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041

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. Douglas Nana Brobbey 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
Douglas Nana Brobbey, 1719 Willard Way, Severn, MD 21144-6831 Ph: (301) 675-9773	Douglas Nana Brobbey, 3000 N Ridge Rd, Ellicott City, MD 21043-3311 Ph: (410) 461-7577

Reviews and Comments

Nurse Practitioner Nurses in Ellicott City, MD

Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700
Wafa Nachifa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7668 Blueberry Hill Ln, Ellicott City, MD 21043 Phone: 240-517-1179
Virginia Sine, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2502 River Ridge Trl, Ellicott City, MD 21043 Phone: 410-336-1269

Douglas Nana Brobbey, - Medicare Nurse Practitioner in Ellicott City, MD