Libabatu Sulley, in Beltsville, MD - Medicare Nurse Practitioner

Libabatu Sulley, is a medicare enrolled "Nurse Practitioner - Family" in Beltsville, Maryland. Her current practice location is 11212 Black Foot Ct, Beltsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 481-8228.

Libabatu Sulley is licensed to practice in Maryland (license number R225746) 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 1770362154.

Contact Information

	Libabatu Sulley,
	11212 Black Foot Ct, Beltsville, MD 20705-1492
	(240) 481-8228
	Not Available

Map and Direction

Provider's Profile

Full Name	Libabatu Sulley
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11212 Black Foot Ct, Beltsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770362154
Provider Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 9739522947
Enrollment ID: I20240205002465

Medical Identifiers

Medical identifiers for Libabatu Sulley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770362154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R225746 (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. Libabatu Sulley allows following entities to bill medicare on her behalf.

Entity Name	Ghanshyam Gupta, M.d. Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811009236 PECOS PAC ID: 0840249587 Enrollment ID: O20050119001068

Entity Name	Choice Pain & Rehabilitation Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568809598 PECOS PAC ID: 1850534645 Enrollment ID: O20130827000063

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. Libabatu Sulley 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
Libabatu Sulley, 11212 Black Foot Ct, Beltsville, MD 20705-1492 Ph: (240) 481-8228	Libabatu Sulley, 11212 Black Foot Ct, Beltsville, MD 20705-1492 Ph: (240) 481-8228

Reviews and Comments

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Libabatu Sulley, - Medicare Nurse Practitioner in Beltsville, MD