Mr Michael Dartey, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Cooksville, Maryland. His current practice location is
2045 Drovers Ln, Cooksville, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 996-9052.
Mr Michael Dartey is licensed to practice in Maryland (license number R168617) 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 1396351409.
Provider's Profile
Full Name | Mr Michael Dartey |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 2045 Drovers Ln, Cooksville, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396351409
- Provider Enumeration Date: 09/23/2020
- Last Update Date: 09/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 2668845454
- Enrollment ID: I20230426001993
Medical Identifiers
Medical identifiers for Mr Michael Dartey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396351409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | R168617 (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. Mr Michael Dartey allows following entities to bill medicare on his behalf.
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
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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. Mr Michael Dartey 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 Michael Dartey, CRNP 2045 Drovers Ln, Cooksville, MD 21723-9504 Ph: (301) 996-9052 | Mr Michael Dartey, CRNP 2045 Drovers Ln, Cooksville, MD 21723-9504 Ph: (301) 996-9052 |
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