Basil E Fomanka, in Riverdale, MD - Medicare Nurse Practitioner

Basil E Fomanka, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Riverdale, Maryland. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 6200 Baltimore Ave, 300-r9, Riverdale, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 520-8138.

Basil E Fomanka is licensed to practice in Maryland (license number R198010) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013621010.

Contact Information

	Basil E Fomanka,
	6200 Baltimore Ave, 300-r9, Riverdale, MD 20737-1054
	(443) 520-8138
	Not Available

Map and Direction

Provider's Profile

Full Name	Basil E Fomanka
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	6200 Baltimore Ave, Riverdale, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Basil E Fomanka graduated from nursing school in 2022

NPI Data:

NPI Number: 1013621010
Provider Enumeration Date: 01/13/2023
Last Update Date: 09/18/2025

Medicare PECOS Information:

PECOS PAC ID: 6103364054
Enrollment ID: I20240809004008

Medical Identifiers

Medical identifiers for Basil E Fomanka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013621010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R198010 (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. Basil E Fomanka allows following entities to bill medicare on his behalf.

Entity Name	Gebaj Mental Health And Core Services Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922866011 PECOS PAC ID: 5294273140 Enrollment ID: O20240809003997

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. Basil E Fomanka 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
Basil E Fomanka, 6200 Baltimore Ave Ste 300-r9, Riverdale, MD 20737-1054 Ph: (443) 520-8138	Basil E Fomanka, 6200 Baltimore Ave, 300-r9, Riverdale, MD 20737-1054 Ph: (443) 520-8138

Reviews and Comments

Nurse Practitioner Nurses in Riverdale, MD

Akunna Chisom Ikocha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Kenilworth Ave Ste 300, Riverdale, MD 20737 Phone: 240-838-6354
Saritha Sudharsun, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6516 Rosalie Ln, Riverdale, MD 20737 Phone: 240-367-3759
Marian Kolb Jones, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5711 Sarvis Ave, Suite 200, Riverdale, MD 20737 Phone: 301-277-8100 Fax: 301-277-0668
Binnur Genc, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737 Phone: 410-997-1907
Miss Imelda Tividad Russell, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6510 Kenilworth Ave Ste 2500, Riverdale, MD 20737 Phone: 410-997-1907
Bosede M Adeleye, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6801 Kenilworth Ave Ste 300-s2, Riverdale, MD 20737 Phone: 301-512-9449 Fax: 301-798-6260

Basil E Fomanka, - Medicare Nurse Practitioner in Riverdale, MD