Arbenita Dervisholli, RN in Baltimore, MD - Medicare Registered Nurse

Arbenita Dervisholli, RN is a medicare enrolled "Registered Nurse - Critical Care Medicine" in Baltimore, Maryland. Her current practice location is 1800 Orleans St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (937) 671-2384.

Arbenita Dervisholli is licensed to practice in Maryland (license number R243107) 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 1780254953.

Contact Information

	Arbenita Dervisholli, RN
	1800 Orleans St, Baltimore, MD 21287-0010
	(937) 671-2384
	Not Available

Map and Direction

Provider's Profile

Full Name	Arbenita Dervisholli
Gender	Female
Speciality	Registered Nurse - Critical Care Medicine
Location	1800 Orleans St, 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: 1780254953
Provider Enumeration Date: 06/29/2021
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 9739540972
Enrollment ID: I20230803001937

Medical Identifiers

Medical identifiers for Arbenita Dervisholli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780254953	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	R243107 (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. Arbenita Dervisholli allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585

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. Arbenita Dervisholli 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
Arbenita Dervisholli, RN 525 N Wolfe St, Baltimore, MD 21205-2110 Ph: (937) 671-2384	Arbenita Dervisholli, RN 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (937) 671-2384

Reviews and Comments

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Arbenita Dervisholli, RN - Medicare Registered Nurse in Baltimore, MD