Mr Bonaventure Mbella, in Bowie, MD - Medicare Nurse Practitioner

Mr Bonaventure Mbella, is a medicare enrolled "Nurse Practitioner - Gerontology" in Bowie, Maryland. His current practice location is 12513 Woodsong Ln, Bowie, Maryland. You can reach out to his office (for appointments etc.) via phone at (256) 417-7067.

Mr Bonaventure Mbella is licensed to practice in Maryland (license number R196090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548818750.

Contact Information

	Mr Bonaventure Mbella,
	12513 Woodsong Ln, Bowie, MD 20721-4225
	(256) 417-7067
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bonaventure Mbella
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	12513 Woodsong Ln, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548818750
Provider Enumeration Date: 08/30/2019
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 0547792061
Enrollment ID: I20241022000963

Medical Identifiers

Medical identifiers for Mr Bonaventure Mbella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548818750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN1019745 (District Of Columbia)	Secondary
363L00000X	Nurse Practitioner	R196090 (Maryland)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	R196090 (Maryland)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	NP1019745 (District Of Columbia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NP1019745 (District Of Columbia)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	R196090 (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. Mr Bonaventure Mbella allows following entities to bill medicare on his behalf.

Entity Name	House Calls Of The District Of Columbia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609329465 PECOS PAC ID: 5991092900 Enrollment ID: O20160919002455

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. Mr Bonaventure Mbella 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
Mr Bonaventure Mbella, 12513 Woodsong Ln, Bowie, MD 20721-4225 Ph: (256) 417-7067	Mr Bonaventure Mbella, 12513 Woodsong Ln, Bowie, MD 20721-4225 Ph: (256) 417-7067

Reviews and Comments

Nurse Practitioner Nurses in Bowie, MD

Ms. Lawanis M Phillips, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715 Phone: 301-262-7800
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Dr. Rashaan Lamont Ballard, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15459 Annapolis Rd, Bowie, MD 20715 Phone: 240-544-0676
Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287
Mrs. Melinda Toussaint, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 703-402-7605
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197

Mr Bonaventure Mbella, - Medicare Nurse Practitioner in Bowie, MD