Mr Mingo Dewayne Boards, in Upper Marlboro, MD

Mr Mingo Dewayne Boards, is a medicare enrolled "Nurse Practitioner" in Upper Marlboro, Maryland. His current practice location is 4305 Spring Foal Ct, Upper Marlboro, Maryland. You can reach out to his office (for appointments etc.) via phone at (843) 601-7525.

Mr Mingo Dewayne Boards is licensed to practice in Maryland (license number R237193) 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 1821727702.

Contact Information

	Mr Mingo Dewayne Boards,
	4305 Spring Foal Ct, Upper Marlboro, MD 20772-8326
	(843) 601-7525
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mingo Dewayne Boards
Gender	Male
Speciality	Nurse Practitioner
Location	4305 Spring Foal Ct, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821727702
Provider Enumeration Date: 06/07/2022
Last Update Date: 06/07/2022

Medicare PECOS Information:

PECOS PAC ID: 7416332747
Enrollment ID: I20220922000548

Medical Identifiers

Medical identifiers for Mr Mingo Dewayne Boards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821727702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R237193 (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 Mingo Dewayne Boards allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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 Mingo Dewayne Boards 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 Mingo Dewayne Boards, 4305 Spring Foal Ct, Upper Marlboro, MD 20772-8326 Ph: (843) 601-7525	Mr Mingo Dewayne Boards, 4305 Spring Foal Ct, Upper Marlboro, MD 20772-8326 Ph: (843) 601-7525

Reviews and Comments

Nurse Practitioner Nurses in Upper Marlboro, MD

Mrs. Olayemi O Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774 Phone: 240-381-6576
Keonie Morrisey, PMHNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5014 Forest Pines Dr, Upper Marlboro, MD 20772 Phone: 240-428-9191
Mrs. Shonte Renee Drakeford, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6610 Woodyard Road, Upper Marlboro, MD 20772 Phone: 240-899-1950
Kehinde Olatunji, CRNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Capital Ct, Upper Marlboro, MD 20774 Phone: 301-618-0079
Frances Atuonah, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3912 Bishopmill Dr, Upper Marlboro, MD 20772 Phone: 202-710-6465
Mrs. Flora Bih Ndaka-nusta, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Largo Rd Uppr Malboro, Upper Marlboro, MD 20774 Phone: 240-305-3696
Aileen Marie Raulin, RN CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772 Phone: 301-599-7300 Fax: 301-599-0476

Mr Mingo Dewayne Boards, - Medicare Nurse Practitioner in Upper Marlboro, MD