Samuel Sulaiman Koroma, PMHNP - Medicare Nurse Practitioner in Waldorf, MD

Samuel Sulaiman Koroma, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Advance Integrated Health Llc and his current practice location is 101 Paul Mellon Ct Ste 5, Waldorf, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 810-4026.

Samuel Sulaiman Koroma is licensed to practice in Maryland (license number R219005) 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 1790324960.

Contact Information

Samuel Sulaiman Koroma, PMHNP
101 Paul Mellon Ct Ste 5,
Waldorf, MD 20602-2761
(301) 810-4026
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Sulaiman Koroma
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location101 Paul Mellon Ct Ste 5, Waldorf, 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:
  • Samuel Sulaiman Koroma graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1790324960
  • Provider Enumeration Date: 01/05/2020
  • Last Update Date: 10/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981034931
  • Enrollment ID: I20201028002375

Medical Identifiers

Medical identifiers for Samuel Sulaiman Koroma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790324960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R219005 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advance Integrated Health Llc41830436232

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. Samuel Sulaiman Koroma allows following entities to bill medicare on his behalf.
Entity NameAndromeda Transcultural Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669549192
PECOS PAC ID: 7113904954
Enrollment ID: O20040630000656
Entity NameAdvance Integrated Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952934671
PECOS PAC ID: 4183043623
Enrollment ID: O20201028002136

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. Samuel Sulaiman Koroma 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
Samuel Sulaiman Koroma, PMHNP
101 Paul Mellon Ct Ste 5,
Waldorf, MD 20602-2761

Ph: (301) 810-4026
Samuel Sulaiman Koroma, PMHNP
101 Paul Mellon Ct Ste 5,
Waldorf, MD 20602-2761

Ph: (301) 810-4026

Reviews and Comments


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Medicare: Accepting Medicare Assignments
Practice Location: 3581 Old Washington Rd, Suite F, Waldorf, MD 20602
Phone: 301-638-4400    Fax: 301-638-2200

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.