Gideon Tah Fon, in Randallstown, MD - Medicare Nurse Practitioner

Gideon Tah Fon, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randallstown, Maryland. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 6 Rock Story Ct, None, Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 676-6123.

Gideon Tah Fon is licensed to practice in Maryland (license number R134373) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891304887.

Contact Information

	Gideon Tah Fon,
	6 Rock Story Ct, None, Randallstown, MD 21133-2844
	(443) 676-6123
	Not Available

Map and Direction

Provider's Profile

Full Name	Gideon Tah Fon
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	6 Rock Story Ct, Randallstown, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gideon Tah Fon graduated from nursing school in 2020

NPI Data:

NPI Number: 1891304887
Provider Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 7810303674
Enrollment ID: I20210303001431

Medical Identifiers

Medical identifiers for Gideon Tah Fon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891304887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R134373 (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. Gideon Tah Fon allows following entities to bill medicare on his behalf.

Entity Name	Outreach Recovery Ii, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427541838 PECOS PAC ID: 5294166302 Enrollment ID: O20210217000254

Entity Name	Exodus Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013535442 PECOS PAC ID: 9931514247 Enrollment ID: O20210219000046

Entity Name	Evercare Recovery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780390088 PECOS PAC ID: 0345606513 Enrollment ID: O20230512000662

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. Gideon Tah Fon 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
Gideon Tah Fon, 6 Rock Story Ct, Randallstown, MD 21133-2844 Ph: (443) 676-6123	Gideon Tah Fon, 6 Rock Story Ct, None, Randallstown, MD 21133-2844 Ph: (443) 676-6123

Reviews and Comments

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Gideon Tah Fon, - Medicare Nurse Practitioner in Randallstown, MD