Ms Adeline L Azong, in Severn, MD - Medicare Nurse Practitioner

Ms Adeline L Azong, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Severn, Maryland. Her current practice location is 1603 Sun High Ter, Severn, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 603-3340.

Ms Adeline L Azong is licensed to practice in Maryland (license number R229040) 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 1548951817.

Contact Information

	Ms Adeline L Azong,
	1603 Sun High Ter, Severn, MD 21144-1622
	(240) 603-3340
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Adeline L Azong
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1603 Sun High Ter, Severn, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548951817
Provider Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5597108340
Enrollment ID: I20240208001358

Medical Identifiers

Medical identifiers for Ms Adeline L Azong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548951817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R229040 (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. Ms Adeline L Azong allows following entities to bill medicare on her behalf.

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Resonance Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821765926 PECOS PAC ID: 5991194813 Enrollment ID: O20211116000777

Entity Name	Spiritual Healing
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041

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. Ms Adeline L Azong 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
Ms Adeline L Azong, 1603 Sun High Ter, Severn, MD 21144-1622 Ph: (240) 603-3340	Ms Adeline L Azong, 1603 Sun High Ter, Severn, MD 21144-1622 Ph: (240) 603-3340

Reviews and Comments

Nurse Practitioner Nurses in Severn, MD

Olatunji Ismail Iberu-olushoga, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 Fitzpatrick Dr, Severn, MD 21144 Phone: 130-172-8034
Kelly Nono Ball, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7913 Evesboro Dr, Severn, MD 21144 Phone: 240-550-1318
Ms. Sandra Marie Aran, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Denson Dr, Severn, MD 21144 Phone: 443-956-5100
Afia Esther Ewoo, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8121 Mount Aventine Rd, Severn, MD 21144 Phone: 703-717-1068
Mrs. Jennifer Paulette Pope, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7948 Andorick Dr, Severn, MD 21144 Phone: 443-599-8479
Ephraim Akin Makinde, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8508 Okeefe Dr, Severn, MD 21144 Phone: 240-421-1251
Ms. Abimbola Hillard, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1778 Grande View Ave, Severn, MD 21144 Phone: 240-501-8616

Ms Adeline L Azong, - Medicare Nurse Practitioner in Severn, MD