Stephane Tsague Ganhym, in Washington, DC - Medicare Nurse Practitioner

Stephane Tsague Ganhym, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Washington, District Of Columbia. His current practice location is 2759 Martin Luther King Jr Ave Se Ste 301, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 827-9961.

Stephane Tsague Ganhym is licensed to practice in District Of Columbia (license number RN1041475) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073120572.

Contact Information

	Stephane Tsague Ganhym,
	2759 Martin Luther King Jr Ave Se Ste 301, Washington, DC 20032-2651
	(202) 827-9961
	(202) 827-9963

Map and Direction

Provider's Profile

Full Name	Stephane Tsague Ganhym
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2759 Martin Luther King Jr Ave Se Ste 301, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073120572
Provider Enumeration Date: 09/29/2020
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 0143631259
Enrollment ID: I20201120002499

Medical Identifiers

Medical identifiers for Stephane Tsague Ganhym such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073120572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN223730 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN1041475 (District Of Columbia)	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. Stephane Tsague Ganhym allows following entities to bill medicare on his behalf.

Entity Name	New Hope Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437628914 PECOS PAC ID: 2668719501 Enrollment ID: O20190130001464

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. Stephane Tsague Ganhym 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
Stephane Tsague Ganhym, 8612 Fire Rock Rd, Laurel, MD 20724-1990 Ph: (240) 601-1432	Stephane Tsague Ganhym, 2759 Martin Luther King Jr Ave Se Ste 301, Washington, DC 20032-2651 Ph: (202) 827-9961

Reviews and Comments

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Stephane Tsague Ganhym, - Medicare Nurse Practitioner in Washington, DC