Afsaneh Golban, AGACNP-BC in Germantown, MD

Afsaneh Golban, AGACNP-BC is a medicare enrolled "Registered Nurse - Gerontology" in Germantown, Maryland. Her current practice location is 12104 Red Admiral Way, Germantown, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 413-2849.

Afsaneh Golban is licensed to practice in Maryland (license number R236897) 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 1508630369.

Contact Information

	Afsaneh Golban, AGACNP-BC
	12104 Red Admiral Way, Germantown, MD 20876-5938
	(202) 413-2849
	Not Available

Map and Direction

Provider's Profile

Full Name	Afsaneh Golban
Gender	Female
Speciality	Registered Nurse - Gerontology
Location	12104 Red Admiral Way, Germantown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508630369
Provider Enumeration Date: 11/13/2023
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2365970761
Enrollment ID: I20250114000005

Medical Identifiers

Medical identifiers for Afsaneh Golban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508630369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0600X	Registered Nurse - Gerontology	R236897 (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. Afsaneh Golban allows following entities to bill medicare on her behalf.

Entity Name	Ajit P Kuruvilla Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801131024 PECOS PAC ID: 8729304118 Enrollment ID: O20150302001550

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. Afsaneh Golban 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
Afsaneh Golban, AGACNP-BC 12104 Red Admiral Way, Germantown, MD 20876-5938 Ph: (202) 413-2849	Afsaneh Golban, AGACNP-BC 12104 Red Admiral Way, Germantown, MD 20876-5938 Ph: (202) 413-2849

Reviews and Comments

Registered Nurse Nurses in Germantown, MD

Mrs. Tihesha E. Simmons, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 21345 Village Green Cir, Germantown, MD 20876 Phone: 240-418-9720 Fax: 301-972-2571
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Kaitlyn Felbaum, CRNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 20680 Seneca Meadows Pkwy Ste 206, Germantown, MD 20876 Phone: 301-339-8027 Fax: 240-428-1460

Afsaneh Golban, AGACNP-BC - Medicare Registered Nurse in Germantown, MD