Khadija Fofana, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Somerset, New Jersey. 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 | |
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Experience | 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. |
Medical Education and Training:
- Khadija Fofana attended and graduated from in
NPI Data:
- NPI Number: 1407413297
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Khadija Fofana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407413297 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01045000 (New Jersey) | Primary |
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 |
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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