Yolanda Alisa Coleman, is a medicare enrolled "Nurse Practitioner - Family" physician in Baltimore, Maryland. Her current practice location is
9200 Franklin Square Dr, 9200 Franklin Square Dr, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 391-2600.
Yolanda Alisa Coleman is licensed to practice in Maryland (license number R271854) 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 1528641560.
Physician's Profile
| Full Name | Yolanda Alisa Coleman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 9200 Franklin Square Dr, Baltimore, 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: 1528641560
- Provider Enumeration Date: 04/28/2021
- Last Update Date: 10/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012363773
- Enrollment ID: I20231101000703
Medical Identifiers
Medical identifiers for Yolanda Alisa Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528641560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | AC003570 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R271854 (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. Yolanda Alisa Coleman allows following entities to bill medicare on her behalf.
| Entity Name | Ic Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104845361 PECOS PAC ID: 5496791212 Enrollment ID: O20050701000563 |
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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. Yolanda Alisa Coleman 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 |
Yolanda Alisa Coleman, 11101 Georgia Ave, Wheaton, MD 20902-4695 Ph: () - | Yolanda Alisa Coleman, 9200 Franklin Square Dr, 9200 Franklin Square Dr, Baltimore, MD 21237-4458 Ph: (410) 391-2600 |
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