Anyinkeng Lydia Tazi, REGISTERED NURSE in Clinton, MD

Anyinkeng Lydia Tazi, REGISTERED NURSE is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clinton, Maryland. Her current practice location is 12003 Piscataway Rd, Clinton, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 691-6835.

Anyinkeng Lydia Tazi is licensed to practice in Maryland (license number R208066) 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 1245591973.

Contact Information

	Anyinkeng Lydia Tazi, REGISTERED NURSE
	12003 Piscataway Rd, Clinton, MD 20735-1168
	(240) 691-6835
	Not Available

Map and Direction

Provider's Profile

Full Name	Anyinkeng Lydia Tazi
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12003 Piscataway Rd, Clinton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245591973
Provider Enumeration Date: 05/29/2012
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8426404328
Enrollment ID: I20231030001488

Medical Identifiers

Medical identifiers for Anyinkeng Lydia Tazi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245591973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN1031555 (District Of Columbia)	Secondary
251S00000X	Community/behavioral Health	(* (Not Available))	Secondary
374U00000X	Home Health Aide	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R208066 (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. Anyinkeng Lydia Tazi allows following entities to bill medicare on her behalf.

Entity Name	Premier Health Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285017822 PECOS PAC ID: 7618285842 Enrollment ID: O20151008000494

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. Anyinkeng Lydia Tazi 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
Anyinkeng Lydia Tazi, REGISTERED NURSE 12003 Piscataway Rd, Clinton, MD 20735-1168 Ph: (240) 691-6835	Anyinkeng Lydia Tazi, REGISTERED NURSE 12003 Piscataway Rd, Clinton, MD 20735-1168 Ph: (240) 691-6835

Reviews and Comments

Nurse Practitioner Nurses in Clinton, MD

Margarate Melima Nesoa I, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4104 Ethan Thomas Dr, Clinton, MD 20735 Phone: 301-728-0662 Fax: 301-434-4450
Mrs. Yata Haja Bazzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9409 Stream Valley Ln, Clinton, MD 20735 Phone: 240-475-4161 Fax: 240-318-2001
Miss Ivanna Plymouth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4656
Dawn Alicia Williams, MSN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10908 Sir Paul Pl, Clinton, MD 20735 Phone: 240-464-8230
Hana Teka Kelele, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7700 Old Branch Ave Ste E101, Clinton, MD 20735 Phone: 240-244-1679
Aldene Doyle, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9135 Piscataway Rd Ste 420, Clinton, MD 20735 Phone: 301-868-2555
Mrs. Uju Arinze Chukwuka, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8612 Kittama Dr, Clinton, MD 20735 Phone: 240-234-5293

Anyinkeng Lydia Tazi, REGISTERED NURSE - Medicare Nurse Practitioner in Clinton, MD