Fatoumata B Diallo, RN in Bronx, NY - Medicare Nurse Practitioner

Fatoumata B Diallo, RN is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 66 Clason Point Ln, Apt # 00a, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (347) 567-7491.

Fatoumata B Diallo is licensed to practice in New York (license number 350727) 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 1700289451.

Contact Information

	Fatoumata B Diallo, RN
	66 Clason Point Ln, Apt # 00a, Bronx, NY 10473-4101
	(347) 567-7491
	Not Available

Map and Direction

Provider's Profile

Full Name	Fatoumata B Diallo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	66 Clason Point Ln, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700289451
Provider Enumeration Date: 10/08/2014
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6204290364
Enrollment ID: I20230908000749

Medical Identifiers

Medical identifiers for Fatoumata B Diallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700289451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350727 (New York)	Primary
163W00000X	Registered Nurse	684767 (New York)	Secondary

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. Fatoumata B Diallo allows following entities to bill medicare on her behalf.

Entity Name	Tbhc Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417183963 PECOS PAC ID: 9133265317 Enrollment ID: O20091202000714

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. Fatoumata B Diallo 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
Fatoumata B Diallo, RN 66 Clason Point Ln, Apt # 00a, Bronx, NY 10473-4101 Ph: (347) 567-2195	Fatoumata B Diallo, RN 66 Clason Point Ln, Apt # 00a, Bronx, NY 10473-4101 Ph: (347) 567-7491

Reviews and Comments

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Fatoumata B Diallo, RN - Medicare Nurse Practitioner in Bronx, NY