Malisha Dietta Dent, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Malisha Dietta Dent, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. Her current practice location is 3107 Woodring Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 418-3190.

Malisha Dietta Dent is licensed to practice in Maryland (license number R201406) 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 1306614367.

Contact Information

	Malisha Dietta Dent, CRNP
	3107 Woodring Ave, Baltimore, MD 21234-7830
	(443) 418-3190
	Not Available

Map and Direction

Provider's Profile

Full Name	Malisha Dietta Dent
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3107 Woodring 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: 1306614367
Provider Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 1850731951
Enrollment ID: I20240506001524

Medical Identifiers

Medical identifiers for Malisha Dietta Dent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306614367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R201406 (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. Malisha Dietta Dent allows following entities to bill medicare on her behalf.

Entity Name	Consonant Healing Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588122535 PECOS PAC ID: 1254662695 Enrollment ID: O20191220002103

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. Malisha Dietta Dent 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
Malisha Dietta Dent, CRNP 10672 Ashford Cir, Waldorf, MD 20603-3209 Ph: () -	Malisha Dietta Dent, CRNP 3107 Woodring Ave, Baltimore, MD 21234-7830 Ph: (443) 418-3190

Reviews and Comments

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Malisha Dietta Dent, CRNP - Medicare Nurse Practitioner in Baltimore, MD