Nichole M Fusco, CPNP-AC in Annapolis, MD - Medicare Nurse Practitioner

Nichole M Fusco, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Annapolis, Maryland. Her current practice location is 200 Forbes St Ste 200, Annapolis, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 672-1842.

Nichole M Fusco is licensed to practice in Maryland (license number R218025) 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 1083283857.

Contact Information

	Nichole M Fusco, CPNP-AC
	200 Forbes St Ste 200, Annapolis, MD 21401-1527
	(301) 672-1842
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole M Fusco
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	200 Forbes St Ste 200, Annapolis, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083283857
Provider Enumeration Date: 06/24/2021
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 2062810583
Enrollment ID: I20211013001038

Medical Identifiers

Medical identifiers for Nichole M Fusco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083283857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R218025 (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. Nichole M Fusco allows following entities to bill medicare on her 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. Nichole M Fusco 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
Nichole M Fusco, CPNP-AC 328 Alameda Pkwy, Arnold, MD 21012-1411 Ph: (301) 672-1842	Nichole M Fusco, CPNP-AC 200 Forbes St Ste 200, Annapolis, MD 21401-1527 Ph: (301) 672-1842

Reviews and Comments

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Nichole M Fusco, CPNP-AC - Medicare Nurse Practitioner in Annapolis, MD