Tenni O John-idiagbonya, FNP in Catonsville, MD

Tenni O John-idiagbonya, FNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Catonsville, Maryland. Her current practice location is 55 Wade Ave, Catonsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 402-7718.

Tenni O John-idiagbonya is licensed to practice in Maryland (license number R187565) 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 1053850008.

Contact Information

	Tenni O John-idiagbonya, FNP
	55 Wade Ave, Catonsville, MD 21228-4663
	(410) 402-7718
	Not Available

Map and Direction

Provider's Profile

Full Name	Tenni O John-idiagbonya
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health, Adult
Location	55 Wade Ave, Catonsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053850008
Provider Enumeration Date: 02/22/2017
Last Update Date: 02/22/2017

Medicare PECOS Information:

PECOS PAC ID: 2668840638
Enrollment ID: I20221122003094

Medical Identifiers

Medical identifiers for Tenni O John-idiagbonya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053850008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	R187565 (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. Tenni O John-idiagbonya allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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. Tenni O John-idiagbonya 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
Tenni O John-idiagbonya, FNP 55 Wade Ave, Catonsville, MD 21228-4663 Ph: (410) 402-7718	Tenni O John-idiagbonya, FNP 55 Wade Ave, Catonsville, MD 21228-4663 Ph: (410) 402-7718

Reviews and Comments

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Tenni O John-idiagbonya, FNP - Medicare Registered Nurse in Catonsville, MD