Chantal Nyefen Fokum, CRNP - Medicare Nurse Practitioner in Huntingtown, MD

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Chantal Nyefen Fokum, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Huntingtown, Maryland. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Dmv Llc and her current practice location is 1512 Larkspur Ct, Huntingtown, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 593-3792.

Chantal Nyefen Fokum is licensed to practice in Maryland (license number R162268) 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 1558026542.

Contact Information

Chantal Nyefen Fokum, CRNP
1512 Larkspur Ct,
Huntingtown, MD 20639-2314
(240) 593-3792
Not Available

Map and Direction




Provider's Profile

Full NameChantal Nyefen Fokum
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1512 Larkspur Ct, Huntingtown, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chantal Nyefen Fokum graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1558026542
  • Provider Enumeration Date: 11/03/2021
  • Last Update Date: 09/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8224429998
  • Enrollment ID: I20220107000170

Medical Identifiers

Medical identifiers for Chantal Nyefen Fokum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558026542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology R162268 (Maryland)Secondary
363LA2200XNurse Practitioner - Adult Health R162268 (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. Chantal Nyefen Fokum allows following entities to bill medicare on her behalf.
Entity NameRahel G. Yirga Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558508184
PECOS PAC ID: 0648335372
Enrollment ID: O20110404000053
Entity NameEnnoble Hc Dmv Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104492115
PECOS PAC ID: 9032517925
Enrollment ID: O20211007000017
Entity NameRhaba Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588353098
PECOS PAC ID: 7618337510
Enrollment ID: O20230724000696

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. Chantal Nyefen Fokum 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 AddressPractice Location Address
Chantal Nyefen Fokum, CRNP
2 University Plz Ste 204,
Hackensack, NJ 07601-6211

Ph: (551) 295-8223		Chantal Nyefen Fokum, CRNP
1512 Larkspur Ct,
Huntingtown, MD 20639-2314

Ph: (240) 593-3792

Reviews and Comments


Nurse Practitioner Nurses in Huntingtown, MD

Joan Maldonado-resto, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3995 Old Town Rd, Huntingtown, MD 20639
Phone: 410-536-3612    Fax: 410-535-3613
Heather May Southwick, MS, AG-ACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4330 Estate Dr, Huntingtown, MD 20639
Phone: 410-703-3284    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.