Mamadou Sadio Diallo, FNP in Havre De Grace, MD

Mamadou Sadio Diallo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Havre De Grace, Maryland. His current practice location is 504 Lewis St, Havre De Grace, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 502-5311.

Mamadou Sadio Diallo is licensed to practice in Maryland (license number R221648) 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 1164005104.

Contact Information

	Mamadou Sadio Diallo, FNP
	504 Lewis St, Havre De Grace, MD 21078-3420
	(443) 502-5311
	Not Available

Map and Direction

Provider's Profile

Full Name	Mamadou Sadio Diallo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	504 Lewis St, Havre De Grace, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164005104
Provider Enumeration Date: 04/28/2021
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5799123832
Enrollment ID: I20240409001001

Medical Identifiers

Medical identifiers for Mamadou Sadio Diallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164005104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R221648 (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. Mamadou Sadio Diallo allows following entities to bill medicare on his behalf.

Entity Name	Md Immediate Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770824195 PECOS PAC ID: 9830330398 Enrollment ID: O20130725000322

Entity Name	Md Family Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316315088 PECOS PAC ID: 2769762954 Enrollment ID: O20161205001873

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. Mamadou Sadio Diallo 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
Mamadou Sadio Diallo, FNP 1344 Tralee Cir, Aberdeen, MD 21001-2642 Ph: (646) 260-6327	Mamadou Sadio Diallo, FNP 504 Lewis St, Havre De Grace, MD 21078-3420 Ph: (443) 502-5311

Reviews and Comments

Nurse Practitioner Nurses in Havre De Grace, MD

Ms. Regina Marie Toal, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2027 Pulaski Hwy Ste 206, Havre De Grace, MD 21078 Phone: 443-643-4222
Constance Noll, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 S Union Ave, Havre De Grace, MD 21078 Phone: 410-843-8800
Lynda Boegner, CRNP-F, PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 253 Lewis Ln Ste 202, Havre De Grace, MD 21078 Phone: 410-378-9696 Fax: 410-378-9922
Mrs. Lindsey Noel Collins, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 N Union Ave, Havre De Grace, MD 21078 Phone: 410-939-3121
Carla Dimiris, APRN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Lewis St, Havre De Grace, MD 21078 Phone: 443-526-6133 Fax: 443-526-6134
Joyce Chinyere Awujor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 S Union Ave, Havre De Grace, MD 21078 Phone: 443-739-2687 Fax: 443-526-6134
Ms. Christina Lucille Darling, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 S Union Ave, Havre De Grace, MD 21078 Phone: 410-939-5843 Fax: 410-939-3538

Mamadou Sadio Diallo, FNP - Medicare Nurse Practitioner in Havre De Grace, MD