Siphra Ngum Mukoro, in Laurel, MD - Medicare Nurse Practitioner

Siphra Ngum Mukoro, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Laurel, Maryland. Her current practice location is 13994 Baltimore Ave, Laurel, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 477-2128.

Siphra Ngum Mukoro is licensed to practice in Maryland (license number R223264) 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 1477289619.

Contact Information

	Siphra Ngum Mukoro,
	13994 Baltimore Ave, Laurel, MD 20707-5087
	(301) 477-2128
	Not Available

Map and Direction

Provider's Profile

Full Name	Siphra Ngum Mukoro
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	13994 Baltimore Ave, Laurel, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477289619
Provider Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 7416327853
Enrollment ID: I20221230000049

Medical Identifiers

Medical identifiers for Siphra Ngum Mukoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477289619	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R223264 (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. Siphra Ngum Mukoro allows following entities to bill medicare on her behalf.

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532

Entity Name	Grace Healthcare Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902581978 PECOS PAC ID: 1052767134 Enrollment ID: O20231025002992

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. Siphra Ngum Mukoro 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
Siphra Ngum Mukoro, 5926 Tomahawk St, New Market, MD 21774-6757 Ph: (301) 675-3515	Siphra Ngum Mukoro, 13994 Baltimore Ave, Laurel, MD 20707-5087 Ph: (301) 477-2128

Reviews and Comments

Nurse Practitioner Nurses in Laurel, MD

Judith Tangi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8125 Mallard Shore Dr, Laurel, MD 20724 Phone: 240-838-4012
Ms. Gloria Asiamah Fosu, RN, MSN, PMHMP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14502 Greenview Dr Suit 455, Laurel, MD 20708 Phone: 240-752-4513
Basil E Fomanka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14201 Oxford Dr, Laurel, MD 20707 Phone: 443-520-8138
Andria Pryce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Fairlane Pl, Laurel, MD 20708 Phone: 240-701-2838
Mrs. Bodil Lynn Morris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13801 Belle Chasse Blvd, Unit 211, Laurel, MD 20707 Phone: 407-232-5062
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

Siphra Ngum Mukoro, - Medicare Nurse Practitioner in Laurel, MD