Khadija Fofana, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Somerset, New Jersey. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Barnabas Health Medical Group, Pc and her current practice location is
122 Girard Ave, Somerset, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(717) 341-8790.
Khadija Fofana is licensed to practice in New Jersey (license number 26NJ01045000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407413297.
Healthcare Provider's Profile
| Full Name | Khadija Fofana |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 122 Girard Ave, Somerset, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Khadija Fofana graduated from medical school in 2020
NPI Data:
- NPI Number: 1407413297
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204254113
- Enrollment ID: I20200909002000
Medical Identifiers
Medical identifiers for Khadija Fofana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407413297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01045000 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Barnabas Health Medical Group, Pc | 0648172809 | 168 |
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. Khadija Fofana allows following entities to bill medicare on her behalf.
| Entity Name | Barnabas Health Medical Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447206420
PECOS PAC ID: 0648172809
Enrollment ID: O20040127000361 |
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| Entity Name | Minuteclinic Diagnostic Of New Jersey Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053353615
PECOS PAC ID: 8527142439
Enrollment ID: O20080229000382 |
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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. Khadija Fofana 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 |
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Khadija Fofana,
81 Crooked Stick Rd,
Jackson, NJ 08527-4032
Ph: (609) 916-6428 | Khadija Fofana,
122 Girard Ave,
Somerset, NJ 08873-2417
Ph: (717) 341-8790 |
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