Bryonna Douglas, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bryans Road, Maryland. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Axis Healthcare Group, Arundel Lodge, Inc. and her current practice location is
3024 Coriander Pl, Bryans Road, Maryland. You can reach out to her office (for appointments etc.) via phone at
(808) 722-2865.
Bryonna Douglas is licensed to practice in Maryland (license number R262900) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265175202.
Provider's Profile
| Full Name | Bryonna Douglas |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 3024 Coriander Pl, Bryans Road, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bryonna Douglas graduated from nursing school in 2022
NPI Data:
- NPI Number: 1265175202
- Provider Enumeration Date: 04/18/2022
- Last Update Date: 03/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446605380
- Enrollment ID: I20240223003160
Medical Identifiers
Medical identifiers for Bryonna Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265175202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 0001301512 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024185517 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R262900 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Axis Healthcare Group | 1254409550 | 51 |
| Arundel Lodge, Inc. | 8123197050 | 13 |
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. Bryonna Douglas allows following entities to bill medicare on her behalf.
| Entity Name | Axis Healthcare Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326295098
PECOS PAC ID: 1254409550
Enrollment ID: O20081013000520 |
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| Entity Name | Columbia Associates In Psychiatry Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699012930
PECOS PAC ID: 7113165739
Enrollment ID: O20130521000309 |
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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. Bryonna Douglas 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 |
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Bryonna Douglas, PMHNP-BC
8288 Tabor Ln,
Fairfax Station, VA 22039-3057
Ph: (808) 722-2865 | Bryonna Douglas, PMHNP-BC
3024 Coriander Pl,
Bryans Road, MD 20616-7048
Ph: (808) 722-2865 |
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