Martha Tadesse Chonchoro, PMHNP-BC in Boyds, MD

Martha Tadesse Chonchoro, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Boyds, Maryland. Her current practice location is 18842 Broken Oak Rd, Boyds, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 222-7604.

Martha Tadesse Chonchoro is licensed to practice in Maryland (license number R212474) 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 1790549772.

Contact Information

	Martha Tadesse Chonchoro, PMHNP-BC
	18842 Broken Oak Rd, Boyds, MD 20841-4222
	(301) 222-7604
	Not Available

Map and Direction

Provider's Profile

Full Name	Martha Tadesse Chonchoro
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	18842 Broken Oak Rd, Boyds, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790549772
Provider Enumeration Date: 02/09/2024
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5698201101
Enrollment ID: I20241206003605

Medical Identifiers

Medical identifiers for Martha Tadesse Chonchoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790549772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R212474 (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. Martha Tadesse Chonchoro allows following entities to bill medicare on her behalf.

Entity Name	Holistic Wellness Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962199745 PECOS PAC ID: 0547627366 Enrollment ID: O20230608002763

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. Martha Tadesse Chonchoro 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
Martha Tadesse Chonchoro, PMHNP-BC 18842 Broken Oak Rd, Boyds, MD 20841-4222 Ph: (301) 222-7604	Martha Tadesse Chonchoro, PMHNP-BC 18842 Broken Oak Rd, Boyds, MD 20841-4222 Ph: (301) 222-7604

Reviews and Comments

Nurse Practitioner Nurses in Boyds, MD

Beatrice Nyokabi Njoroge, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22880 Whelan Ln, Boyds, MD 20841 Phone: 240-328-4588
Bridget Foretia Meyers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18420 Clear Smoke Rd, Boyds, MD 20841 Phone: 301-237-3545
Dr. Jaimie Pollock, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12204 Greenridge Dr, Boyds, MD 20841 Phone: 609-970-5942

Martha Tadesse Chonchoro, PMHNP-BC - Medicare Nurse Practitioner in Boyds, MD