Nadine Carole Missiet Fogoum, CRNP in Laurel, MD

Nadine Carole Missiet Fogoum, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Laurel, Maryland. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Axis Healthcare Group, Axis Healthcare Group and her current practice location is 8625 Savannah River Rd, Laurel, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 459-8904.

Nadine Carole Missiet Fogoum is licensed to practice in Maryland (license number R205038) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093075731.

Contact Information

	Nadine Carole Missiet Fogoum, CRNP
	8625 Savannah River Rd, Laurel, MD 20724-1956
	(202) 459-8904
	Not Available

Map and Direction

Provider's Profile

Full Name	Nadine Carole Missiet Fogoum
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	8625 Savannah River Rd, Laurel, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nadine Carole Missiet Fogoum graduated from nursing school in 2019

NPI Data:

NPI Number: 1093075731
Provider Enumeration Date: 05/28/2012
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 4183041890
Enrollment ID: I20200826002249

Medical Identifiers

Medical identifiers for Nadine Carole Missiet Fogoum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093075731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R205038 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Cross Germantown Hospital	Germantown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Axis Healthcare Group	1254409550	47
Axis Healthcare Group	1254409550	47

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. Nadine Carole Missiet Fogoum allows following entities to bill medicare on her behalf.

Entity Name	Axis Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20120919000403

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200924001878

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. Nadine Carole Missiet Fogoum 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
Nadine Carole Missiet Fogoum, CRNP 8625 Savannah River Rd, Laurel, MD 20724-1956 Ph: (202) 459-8904	Nadine Carole Missiet Fogoum, CRNP 8625 Savannah River Rd, Laurel, MD 20724-1956 Ph: (202) 459-8904

Reviews and Comments

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Ms. Florence A Nwana, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13639 Baltimore Ave, Laurel, MD 20707 Phone: 301-604-4830 Fax: 301-604-4929
Making Mpaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16305 Gales Ct, Laurel, MD 20707 Phone: 301-404-0726

Nadine Carole Missiet Fogoum, CRNP - Medicare Nurse Practitioner in Laurel, MD