Mrs Fatoumata Diallo, PMHNP in Gastonia, NC - Medicare Nurse Practitioner

Mrs Fatoumata Diallo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gastonia, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Medical Group Inc, Caromont Medical Group Inc and her current practice location is 1337 E Garrison Blvd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 865-3848.

Mrs Fatoumata Diallo is licensed to practice in North Carolina (license number 5013368) 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 1336763176.

Contact Information

	Mrs Fatoumata Diallo, PMHNP
	1337 E Garrison Blvd, Gastonia, NC 28054-5127
	(704) 865-3848
	(919) 933-6881

Map and Direction

Provider's Profile

Full Name	Mrs Fatoumata Diallo
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1337 E Garrison Blvd, Gastonia, North Carolina
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:

Mrs Fatoumata Diallo graduated from nursing school in 2019

NPI Data:

NPI Number: 1336763176
Provider Enumeration Date: 06/07/2020
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3971929696
Enrollment ID: I20200812001809

Medical Identifiers

Medical identifiers for Mrs Fatoumata Diallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336763176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	217208 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5013368 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5013368 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Caromont Regional Medical Center	Gastonia, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	1996
Caromont Medical Group Inc	3577476258	328

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. Mrs Fatoumata Diallo allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Caromont Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070

Entity Name	Doctors Making Housecalls Psychiatric Medicine,pa
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1518107325 PECOS PAC ID: 9537213186 Enrollment ID: O20090815000138

Entity Name	Outreach Management Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417080680 PECOS PAC ID: 6800941923 Enrollment ID: O20171122000321

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. Mrs Fatoumata Diallo 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
Mrs Fatoumata Diallo, PMHNP Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 865-3848	Mrs Fatoumata Diallo, PMHNP 1337 E Garrison Blvd, Gastonia, NC 28054-5127 Ph: (704) 865-3848

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora D. Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Mrs Fatoumata Diallo, PMHNP - Medicare Nurse Practitioner in Gastonia, NC