Mr Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER in Waldorf, MD

Mr Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. His current practice location is 10346 Sugarberry St, Waldorf, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 478-2266.

Mr Kelvin Chinakwe Okwudiogor is licensed to practice in District Of Columbia (license number NP1047502) 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 1407695646.

Contact Information

	Mr Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER
	10346 Sugarberry St, Waldorf, MD 20603-5788
	(240) 478-2266
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kelvin Chinakwe Okwudiogor
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10346 Sugarberry St, Waldorf, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407695646
Provider Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9133652472
Enrollment ID: I20241025000413

Medical Identifiers

Medical identifiers for Mr Kelvin Chinakwe Okwudiogor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407695646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP1047502 (District Of Columbia)	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. Mr Kelvin Chinakwe Okwudiogor allows following entities to bill medicare on his behalf.

Entity Name	Supportive Care Of Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191107000137

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. Mr Kelvin Chinakwe Okwudiogor 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
Mr Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER 10346 Sugarberry St, Waldorf, MD 20603-5788 Ph: (240) 478-2266	Mr Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER 10346 Sugarberry St, Waldorf, MD 20603-5788 Ph: (240) 478-2266

Reviews and Comments

Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2805 Trumpeter Ct, Waldorf, MD 20601 Phone: 240-353-2516
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994
Oluwatoyin Rachael Adelakun, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10612 Cheryl Turn, Waldorf, MD 20603 Phone: 301-377-4325
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556

Mr Kelvin Chinakwe Okwudiogor, NURSE PRACTITIONER - Medicare Nurse Practitioner in Waldorf, MD