Leonard Mugo, in Baltimore, MD - Medicare Nurse Practitioner

Leonard Mugo, is a medicare enrolled "Nurse Practitioner - Gerontology" in Baltimore, Maryland. His current practice location is 4611 Southwood Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 900-4619.

Leonard Mugo is licensed to practice in Maryland (license number R181805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659815520.

Contact Information

	Leonard Mugo,
	4611 Southwood Ave, Baltimore, MD 21206-2245
	(410) 900-4619
	Not Available

Map and Direction

Provider's Profile

Full Name	Leonard Mugo
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	4611 Southwood Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659815520
Provider Enumeration Date: 12/13/2016
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7810259421
Enrollment ID: I20180320000461

Medical Identifiers

Medical identifiers for Leonard Mugo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659815520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R181805 (Maryland)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	R181805 (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. Leonard Mugo allows following entities to bill medicare on his behalf.

Entity Name	Salus Capital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568859478 PECOS PAC ID: 6103131198 Enrollment ID: O20151008000415

Entity Name	Evernorth Care Providers - Delaware Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063284032 PECOS PAC ID: 6002217973 Enrollment ID: O20231206001646

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. Leonard Mugo 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
Leonard Mugo, 7120 Samuel Morse Dr Ste 140, Columbia, MD 21046-3421 Ph: () -	Leonard Mugo, 4611 Southwood Ave, Baltimore, MD 21206-2245 Ph: (410) 900-4619

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Leonard Mugo, - Medicare Nurse Practitioner in Baltimore, MD