Jane Kutsushi, NP - Medicare Nurse Practitioner in Waldorf, MD

Jane Kutsushi, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. Her current practice location is 2 Post Office Rd Unit 4a9497, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 489-6118.

Jane Kutsushi is licensed to practice in Maryland (license number R166622) 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 1710433693.

Contact Information

Jane Kutsushi, NP
2 Post Office Rd Unit 4a9497,
Waldorf, MD 20602-2726
(202) 489-6118
Not Available

Map and Direction




Provider's Profile

Full NameJane Kutsushi
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2 Post Office Rd Unit 4a9497, Waldorf, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710433693
  • Provider Enumeration Date: 08/30/2016
  • Last Update Date: 08/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749729382
  • Enrollment ID: I20240828000631

Medical Identifiers

Medical identifiers for Jane Kutsushi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710433693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health NP1006184 (District Of Columbia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R166622 (Maryland)Primary
163WP0808XRegistered Nurse - Psychiatric/mental Health NP1006184 (District Of Columbia)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine RN1006184 (District Of Columbia)Secondary
163WE0003XRegistered Nurse - Emergency RN1006184 (District Of Columbia)Secondary
163WH0200XRegistered Nurse - Home Health RN1006184 (District Of Columbia)Secondary
163WM0705XRegistered Nurse - Medical-surgical RN1006184 (District Of Columbia)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. Jane Kutsushi allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221213001514
Entity NameBreaking Silos In Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720831142
PECOS PAC ID: 5890232698
Enrollment ID: O20240729004316

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. Jane Kutsushi 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 AddressPractice Location Address
Jane Kutsushi, NP
9497 Pep Rally Ln,
Waldorf, MD 20603-3898

Ph: (202) 489-6118
Jane Kutsushi, NP
2 Post Office Rd Unit 4a9497,
Waldorf, MD 20602-2726

Ph: (202) 489-6118

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.