Miss Kedemah Joseph-fagbuyi, FNP, PMHNP is a medicare enrolled "Case Manager/care Coordinator" in Washington, District Of Columbia. Her current practice location is
915 Rhode Island Ave Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at
(202) 236-6100.
Miss Kedemah Joseph-fagbuyi is licensed to practice in * (Not Available) (license number ) 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 1558604421.
Provider's Profile
| Full Name | Miss Kedemah Joseph-fagbuyi |
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| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 915 Rhode Island Ave Nw, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558604421
- Provider Enumeration Date: 03/29/2013
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325416274
- Enrollment ID: I20221125000168
Medical Identifiers
Medical identifiers for Miss Kedemah Joseph-fagbuyi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558604421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 649183-1 (New York) | Secondary |
| 163W00000X | Registered Nurse | RN1043213 (District Of Columbia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R227421 (Maryland) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Miss Kedemah Joseph-fagbuyi allows following entities to bill medicare on her behalf.
| Entity Name | Carroll Counseling Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710999784
PECOS PAC ID: 8123919461
Enrollment ID: O20040324000653 |
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| Entity Name | Privia Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140522000040 |
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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 Kedemah Joseph-fagbuyi 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 Kedemah Joseph-fagbuyi, FNP, PMHNP
4450 Mitchellville Rd,
Bowie, MD 20716-3112
Ph: (860) 518-7454 | Miss Kedemah Joseph-fagbuyi, FNP, PMHNP
915 Rhode Island Ave Nw,
Washington, DC 20001-4153
Ph: (202) 236-6100 |
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