Ms Vivien Anjoh Fonjong, FNP in Columbia, MD - Medicare Nurse Practitioner

Ms Vivien Anjoh Fonjong, FNP is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Maryland. Her current practice location is 9710 Patuxent Woods Dr Ste 200, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 899-9525.

Ms Vivien Anjoh Fonjong is licensed to practice in Maryland (license number CRNP134269) 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 1740822865.

Contact Information

	Ms Vivien Anjoh Fonjong, FNP
	9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046-3458
	(443) 899-9525
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Vivien Anjoh Fonjong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9710 Patuxent Woods Dr Ste 200, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740822865
Provider Enumeration Date: 10/09/2019
Last Update Date: 10/09/2019

Medicare PECOS Information:

PECOS PAC ID: 8224464060
Enrollment ID: I20200214000609

Medical Identifiers

Medical identifiers for Ms Vivien Anjoh Fonjong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740822865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CRNP134269 (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 Vivien Anjoh Fonjong allows following entities to bill medicare on her behalf.

Entity Name	Community Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222

Entity Name	Hcr Manorcare Medical Services Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20041210000322

Entity Name	Got Your Back Total Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215495767 PECOS PAC ID: 2163751215 Enrollment ID: O20190916000459

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 Vivien Anjoh Fonjong 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 Vivien Anjoh Fonjong, FNP 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046-3458 Ph: (443) 899-9525	Ms Vivien Anjoh Fonjong, FNP 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046-3458 Ph: (443) 899-9525

Reviews and Comments

Nurse Practitioner Nurses in Columbia, MD

Gladys Tombise Ekema Mosaso, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7120 Minstrel Way, Suite 203, Columbia, MD 21045 Phone: 508-979-5557
Jennifer Joy Hrynko, MSN, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10175 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 202-809-1410
Lauren Psoras, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6740 Alexander Bell Dr Ste 300, Columbia, MD 21046 Phone: 410-564-0000
Steven Mark Gordon, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8945 Guilford Rd Ste 140, Columbia, MD 21046 Phone: 410-988-2503 Fax: 410-343-7899
Loretta V Trumble, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11085 Little Patuxent Pkwy, 202, Columbia, MD 21044 Phone: 410-715-1060 Fax: 410-715-1063
Ms. Margaret Evelyn Lowenstein, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8321 Painted Rock Rd, Columbia, MD 21045 Phone: 410-290-0710
Mrs. Wendy Strong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr, Columbia, MD 21045 Phone: 301-317-6575

Ms Vivien Anjoh Fonjong, FNP - Medicare Nurse Practitioner in Columbia, MD