Letitia Kathlene Thompson Dzirasa, MD is a medicare enrolled "Pediatrics" physician in Essex, Maryland. Her current practice location is
1245 Eastern Blvd, Essex, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 558-4700.
Letitia Kathlene Thompson Dzirasa is licensed to practice in Maryland (license number 22176) 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 1407051709.
Physician's Profile
| Full Name | Letitia Kathlene Thompson Dzirasa |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1245 Eastern Blvd, Essex, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407051709
- Provider Enumeration Date: 06/18/2007
- Last Update Date: 12/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 5799962171
- Enrollment ID: I20110613000334
Medical Identifiers
Medical identifiers for Letitia Kathlene Thompson Dzirasa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407051709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 22176 (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. Letitia Kathlene Thompson Dzirasa allows following entities to bill medicare on her behalf.
| Entity Name | Baltimore Medical System, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
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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. Letitia Kathlene Thompson Dzirasa 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 |
Letitia Kathlene Thompson Dzirasa, MD 3501 Sinclair Ln, Baltimore, MD 21213-2029 Ph: (410) 732-8800 | Letitia Kathlene Thompson Dzirasa, MD 1245 Eastern Blvd, Essex, MD 21221-3422 Ph: (410) 558-4700 |
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