Grace Wanjiku Kingori, in Gwynn Oak, MD - Medicare Nurse Practitioner

Grace Wanjiku Kingori, is a medicare enrolled "Nurse Practitioner - Family" in Gwynn Oak, Maryland. Her current practice location is 6903 Brightway Pl Apt J, Gwynn Oak, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 985-0626.

Grace Wanjiku Kingori is licensed to practice in Maryland (license number R194128) 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 1578152203.

Contact Information

	Grace Wanjiku Kingori,
	6903 Brightway Pl Apt J, Gwynn Oak, MD 21207-5786
	(443) 985-0626
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Wanjiku Kingori
Gender	Female
Speciality	Nurse Practitioner - Family
Location	6903 Brightway Pl Apt J, Gwynn Oak, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578152203
Provider Enumeration Date: 01/17/2021
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 0143604959
Enrollment ID: I20220829000745

Medical Identifiers

Medical identifiers for Grace Wanjiku Kingori such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578152203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	R194128 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R194128 (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. Grace Wanjiku Kingori allows following entities to bill medicare on her behalf.

Entity Name	Optimize Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952818999 PECOS PAC ID: 0446512040 Enrollment ID: O20200115001092

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. Grace Wanjiku Kingori 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
Grace Wanjiku Kingori, 6903 Brightway Pl Apt J, Gwynn Oak, MD 21207-5786 Ph: (443) 985-0626	Grace Wanjiku Kingori, 6903 Brightway Pl Apt J, Gwynn Oak, MD 21207-5786 Ph: (443) 985-0626

Reviews and Comments

Nurse Practitioner Nurses in Gwynn Oak, MD

Grace Mbakop, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207 Phone: 443-200-5338 Fax: 443-200-5261
Mrs. Jasmyn Renee Berkley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5524 Wesley Ave, Gwynn Oak, MD 21207 Phone: 444-204-4549
Bola D Osunkiyesi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6239 Seton Hills Ln, Gwynn Oak, MD 21207 Phone: 443-469-9528
Gibrilla Mustapha Sannoh, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd Ste 100, Gwynn Oak, MD 21207 Phone: 443-200-5338
Monique Bruton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7131 Liberty Rd, Gwynn Oak, MD 21207 Phone: 443-985-0369
Sakirat Bukola Raheem, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7131 Liberty Rd, Gwynn Oak, MD 21207 Phone: 443-200-5338
Tavon Todd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6509 Windsor Mill Rd, Gwynn Oak, MD 21207 Phone: 410-777-3978

Grace Wanjiku Kingori, - Medicare Nurse Practitioner in Gwynn Oak, MD