Gideon Tah Fon, - Medicare Nurse Practitioner in Randallstown, MD

Gideon Tah Fon, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randallstown, Maryland. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 6 Rock Story Ct, None, Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 676-6123.

Gideon Tah Fon is licensed to practice in Maryland (license number R134373) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891304887.

Contact Information

Gideon Tah Fon,
6 Rock Story Ct, None,
Randallstown, MD 21133-2844
(443) 676-6123
Not Available

Map and Direction




Provider's Profile

Full NameGideon Tah Fon
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location6 Rock Story Ct, Randallstown, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gideon Tah Fon graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1891304887
  • Provider Enumeration Date: 07/27/2020
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7810303674
  • Enrollment ID: I20210303001431

Medical Identifiers

Medical identifiers for Gideon Tah Fon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891304887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R134373 (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. Gideon Tah Fon allows following entities to bill medicare on his behalf.
Entity NameOutreach Recovery Ii, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427541838
PECOS PAC ID: 5294166302
Enrollment ID: O20210217000254
Entity NameExodus Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013535442
PECOS PAC ID: 9931514247
Enrollment ID: O20210219000046
Entity NameEvercare Recovery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780390088
PECOS PAC ID: 0345606513
Enrollment ID: O20230512000662

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. Gideon Tah Fon 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 AddressPractice Location Address
Gideon Tah Fon,
6 Rock Story Ct,
Randallstown, MD 21133-2844

Ph: (443) 676-6123
Gideon Tah Fon,
6 Rock Story Ct, None,
Randallstown, MD 21133-2844

Ph: (443) 676-6123

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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