Miss Ivanna Plymouth, NP in Clinton, MD - Medicare Nurse Practitioner

Miss Ivanna Plymouth, NP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" in Clinton, Maryland. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medstar Medical Group Ii Llc and her current practice location is 7503 Surratts Rd, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 877-4656.

Miss Ivanna Plymouth is licensed to practice in North Carolina (license number 5010033) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083126379.

Contact Information

	Miss Ivanna Plymouth, NP
	7503 Surratts Rd, Clinton, MD 20735-3358
	(301) 877-4656
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Ivanna Plymouth
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	7503 Surratts Rd, Clinton, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Ivanna Plymouth graduated from nursing school in 2017

NPI Data:

NPI Number: 1083126379
Provider Enumeration Date: 10/26/2017
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 1254692866
Enrollment ID: I20231218002278

Medical Identifiers

Medical identifiers for Miss Ivanna Plymouth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083126379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	5010033 (North Carolina)	Secondary
363LC0200X	Nurse Practitioner - Critical Care Medicine	5010033 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Medstar Southern Maryland Hospital Center	Clinton, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medstar Medical Group Ii Llc	0547413825	1790

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. Miss Ivanna Plymouth allows following entities to bill medicare on her behalf.

Entity Name	Medstar Medical Group Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415

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. Miss Ivanna Plymouth 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
Miss Ivanna Plymouth, NP 2090 Arbroth Ct, Waldorf, MD 20601-3787 Ph: (252) 268-2608	Miss Ivanna Plymouth, NP 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 877-4656

Reviews and Comments

Nurse Practitioner Nurses in Clinton, MD

Margarate Melima Nesoa I, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4104 Ethan Thomas Dr, Clinton, MD 20735 Phone: 301-728-0662 Fax: 301-434-4450
Mrs. Yata Haja Bazzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9409 Stream Valley Ln, Clinton, MD 20735 Phone: 240-475-4161 Fax: 240-318-2001
Dawn Alicia Williams, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10908 Sir Paul Pl, Clinton, MD 20735 Phone: 240-464-8230
Taoheed Kasumu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3202 Kirkpatrick Ct, Clinton, MD 20735 Phone: 213-238-8040
Hana Teka Kelele, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7700 Old Branch Ave Ste E101, Clinton, MD 20735 Phone: 240-244-1679
Aldene Doyle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9135 Piscataway Rd Ste 420, Clinton, MD 20735 Phone: 301-868-2555

Miss Ivanna Plymouth, NP - Medicare Nurse Practitioner in Clinton, MD