Queendaline Nwobodo, in Severn, MD - Medicare Nurse Practitioner

Queendaline Nwobodo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Severn, Maryland. Her current practice location is 1720 Sea Pine Cir, Severn, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 345-7967.

Queendaline Nwobodo is licensed to practice in Maryland (license number R230325) 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 1750901955.

Contact Information

	Queendaline Nwobodo,
	1720 Sea Pine Cir, Severn, MD 21144-1017
	(443) 345-7967
	Not Available

Map and Direction

Provider's Profile

Full Name	Queendaline Nwobodo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1720 Sea Pine Cir, 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: 1750901955
Provider Enumeration Date: 04/17/2020
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 9436693991
Enrollment ID: I20240626001402

Medical Identifiers

Medical identifiers for Queendaline Nwobodo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750901955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP200003026 (District Of Columbia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R230325 (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. Queendaline Nwobodo allows following entities to bill medicare on her behalf.

Entity Name	Hightower Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972140069 PECOS PAC ID: 5799114591 Enrollment ID: O20200505000689

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

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. Queendaline Nwobodo 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
Queendaline Nwobodo, 1720 Sea Pine Cir, Severn, MD 21144-1017 Ph: () -	Queendaline Nwobodo, 1720 Sea Pine Cir, Severn, MD 21144-1017 Ph: (443) 345-7967

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
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, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1603 Sun High Ter, Severn, MD 21144 Phone: 240-603-3340

Queendaline Nwobodo, - Medicare Nurse Practitioner in Severn, MD