Eleanor Dzodzomenyo, CRNP, FNP-BC in Germantown, MD

Eleanor Dzodzomenyo, CRNP, FNP-BC is a medicare enrolled "Nurse Practitioner" in Germantown, Maryland. Her current practice location is 19785 Crystal Rock Dr Ste 209, Germantown, Maryland. You can reach out to her office (for appointments etc.) via phone at (586) 800-3678.

Eleanor Dzodzomenyo is licensed to practice in Maryland (license number R205405) 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 1942920202.

Contact Information

	Eleanor Dzodzomenyo, CRNP, FNP-BC
	19785 Crystal Rock Dr Ste 209, Germantown, MD 20874-4715
	(586) 800-3678
	Not Available

Map and Direction

Provider's Profile

Full Name	Eleanor Dzodzomenyo
Gender	Female
Speciality	Nurse Practitioner
Location	19785 Crystal Rock Dr Ste 209, Germantown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942920202
Provider Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8820447618
Enrollment ID: I20231205002325

Medical Identifiers

Medical identifiers for Eleanor Dzodzomenyo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942920202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R205405 (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. Eleanor Dzodzomenyo allows following entities to bill medicare on her behalf.

Entity Name	Doctors First P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912160458 PECOS PAC ID: 3870661978 Enrollment ID: O20081002000261

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. Eleanor Dzodzomenyo 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
Eleanor Dzodzomenyo, CRNP, FNP-BC 19785 Crystal Rock Dr Ste 209, Germantown, MD 20874-4715 Ph: () -	Eleanor Dzodzomenyo, CRNP, FNP-BC 19785 Crystal Rock Dr Ste 209, Germantown, MD 20874-4715 Ph: (586) 800-3678

Reviews and Comments

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Eleanor Dzodzomenyo, CRNP, FNP-BC - Medicare Nurse Practitioner in Germantown, MD