Katumu Frances Pettiquoi, MED in Laurel, MD - Medicare Counselor Provider

Katumu Frances Pettiquoi, MED is a medicare enrolled "Counselor - Mental Health" provider in Laurel, Maryland. Her current practice location is 1010 Montrose Ave, Laurel, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 613-6333.

Katumu Frances Pettiquoi is licensed to practice in Maryland (license number LC1940) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508022831.

Contact Information

	Katumu Frances Pettiquoi, MED
	1010 Montrose Ave, Laurel, MD 20707-3850
	(301) 613-6333
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katumu Frances Pettiquoi
Gender	Female
Speciality	Counselor - Mental Health
Location	1010 Montrose Ave, Laurel, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508022831
Provider Enumeration Date: 08/06/2008
Last Update Date: 08/06/2008

Medicare PECOS Information:

PECOS PAC ID: 7315461407
Enrollment ID: I20250410001087

Medical Identifiers

Medical identifiers for Katumu Frances Pettiquoi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508022831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LC1940 (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. Katumu Frances Pettiquoi allows following entities to bill medicare on her behalf.

Entity Name	Columbia Associates In Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699012930 PECOS PAC ID: 7113165739 Enrollment ID: O20130521000309

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. Katumu Frances Pettiquoi 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
Katumu Frances Pettiquoi, MED 1010 Montrose Ave, Laurel, MD 20707-3850 Ph: (301) 613-6333	Katumu Frances Pettiquoi, MED 1010 Montrose Ave, Laurel, MD 20707-3850 Ph: (301) 613-6333

Reviews and Comments

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Katumu Frances Pettiquoi, MED - Medicare Counselor in Laurel, MD