Freidrich Datu Anselmo, MD in Baltimore, MD - Medicare Student in an Organized Health Care Education/Training Program

Freidrich Datu Anselmo, MD - Medicare Student in an Organized Health Care Education/Training Program in Baltimore, MD

Freidrich Datu Anselmo, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is 419 W Redwood St Ste 160, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (667) 214-1171.

Freidrich Datu Anselmo is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215565965.

Contact Information

	Freidrich Datu Anselmo, MD
	419 W Redwood St Ste 160, Baltimore, MD 21201-1782
	(667) 214-1171
	(410) 328-1323

Map and Direction

Physician's Profile

Full Name	Freidrich Datu Anselmo
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	419 W Redwood St Ste 160, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215565965
Provider Enumeration Date: 03/30/2020
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 0042615775
Enrollment ID: I20210818003471

Medical Identifiers

Medical identifiers for Freidrich Datu Anselmo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215565965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	0101279799 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Freidrich Datu Anselmo 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
Freidrich Datu Anselmo, MD 419 W Redwood St Ste 160, Baltimore, MD 21201-1782 Ph: (667) 214-1171	Freidrich Datu Anselmo, MD 419 W Redwood St Ste 160, Baltimore, MD 21201-1782 Ph: (667) 214-1171