Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP in Joppa, MD

Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP is a medicare enrolled "Nurse Practitioner - Family" in Joppa, Maryland. Her current practice location is 317 Spry Island Rd, Joppa, Maryland. You can reach out to her office (for appointments etc.) via phone at (667) 434-6218.

Elsie Antwiwaa Tweneboah-koduah is licensed to practice in Maryland (license number R209129) 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 1134680648.

Contact Information

	Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP
	317 Spry Island Rd, Joppa, MD 21085-5425
	(667) 434-6218
	Not Available

Map and Direction

Provider's Profile

Full Name	Elsie Antwiwaa Tweneboah-koduah
Gender	Female
Speciality	Nurse Practitioner - Family
Location	317 Spry Island Rd, Joppa, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134680648
Provider Enumeration Date: 03/27/2019
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 7012245350
Enrollment ID: I20240605000890

Medical Identifiers

Medical identifiers for Elsie Antwiwaa Tweneboah-koduah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134680648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R209129 (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. Elsie Antwiwaa Tweneboah-koduah allows following entities to bill medicare on her behalf.

Entity Name	Peniel Interventional Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871364646 PECOS PAC ID: 7810439957 Enrollment ID: O20240605000590

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. Elsie Antwiwaa Tweneboah-koduah 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
Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP 318 Spry Island Rd, Joppa, MD 21085-5424 Ph: (317) 797-9816	Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP 317 Spry Island Rd, Joppa, MD 21085-5425 Ph: (667) 434-6218

Reviews and Comments

Nurse Practitioner Nurses in Joppa, MD

Kirsi Johanna Hadley, MSN, RN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1312 Stockton Rd, Joppa, MD 21085 Phone: 443-616-1965
Ikechi Dike, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 413 Pulaski Hwy Ste 201, Joppa, MD 21085 Phone: 410-593-7556 Fax: 410-510-7958
Mrs. Sonita Nulla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1518 Philadelphia Rd, Joppa, MD 21085 Phone: 240-705-3324
Ursula Nkeiru Ezedike, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Joppa Crossing Way, Joppa, MD 21085 Phone: 410-916-4826
Mrs. Sandra N Ferguson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1518 Philadelphia Rd, Joppa, MD 21085 Phone: 443-840-9478 Fax: 410-538-5510
Linette I Eke, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1518 Philadelphia Rd, Joppa, MD 21085 Phone: 443-928-7707 Fax: 410-538-5510

Elsie Antwiwaa Tweneboah-koduah, DNP,CRNP,PMHNP - Medicare Nurse Practitioner in Joppa, MD