Mr Nelvin Glenn Bergonia Ison, CRNP in Elkton, MD

Mr Nelvin Glenn Bergonia Ison, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Elkton, Maryland. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jlj Medical Llc and his current practice location is 310 E Pulaski Hwy, Elkton, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 485-6213.

Mr Nelvin Glenn Bergonia Ison is licensed to practice in Maryland (license number R176504) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447811534.

Contact Information

	Mr Nelvin Glenn Bergonia Ison, CRNP
	310 E Pulaski Hwy, Elkton, MD 21921-6435
	(443) 485-6213
	(443) 485-6226

Map and Direction

Provider's Profile

Full Name	Mr Nelvin Glenn Bergonia Ison
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	310 E Pulaski Hwy, Elkton, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Nelvin Glenn Bergonia Ison graduated from nursing school in 2018

NPI Data:

NPI Number: 1447811534
Provider Enumeration Date: 06/28/2019
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6608108766
Enrollment ID: I20191023001402

Medical Identifiers

Medical identifiers for Mr Nelvin Glenn Bergonia Ison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447811534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R176504 (Maryland)	Secondary
363L00000X	Nurse Practitioner	R176504 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R176504 (Maryland)	Primary
363L00000X	Nurse Practitioner	LG-0012948 (Delaware)	Secondary
363LF0000X	Nurse Practitioner - Family	LG-0012948 (Delaware)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jlj Medical Llc	1759764830	15

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 Nelvin Glenn Bergonia Ison allows following entities to bill medicare on his behalf.

Entity Name	Lifebridge Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318

Entity Name	Capital Healthcare Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20170918001050

Entity Name	Jlj Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558706549 PECOS PAC ID: 1759764830 Enrollment ID: O20220823001645

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 Nelvin Glenn Bergonia Ison 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 Nelvin Glenn Bergonia Ison, CRNP 104 Plumtree Rd, Bel Air, MD 21015-6095 Ph: (410) 515-4300	Mr Nelvin Glenn Bergonia Ison, CRNP 310 E Pulaski Hwy, Elkton, MD 21921-6435 Ph: (443) 485-6213

Reviews and Comments

Nurse Practitioner Nurses in Elkton, MD

Ryan Kimball, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 W High St, Suite 314, Elkton, MD 21921 Phone: 410-620-0545
Mrs. Nina C. Lane, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 224 E Main St Ste 119, Elkton, MD 21921 Phone: 866-472-6288
Melissa D Hunter, DNP, CRNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 N Bridge St, Elkton, MD 21921 Phone: 410-392-6408 Fax: 410-392-6409
Mrs. Judith Steinert Rodemich, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Bow St, Elkton, MD 21921 Phone: 410-996-5135 Fax: 410-996-1019
Mrs. Kelly Lynn Jenkins, CRNP-FAMILY Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Bow St, Elkton, MD 21921 Phone: 443-406-1370
Shannon Revit, DNP, FNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Elkton, MD 21921 Phone: 410-996-8990 Fax: 410-996-8992
Olumide Olalekan Mesioye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Shepherd Way, Elkton, MD 21921 Phone: 240-997-0287

Mr Nelvin Glenn Bergonia Ison, CRNP - Medicare Nurse Practitioner in Elkton, MD