Dalisa Eboni Gutter, WHNP in La Plata, MD - Medicare Nurse Practitioner

Dalisa Eboni Gutter, WHNP is a medicare enrolled "Nurse Practitioner - Women's Health" in La Plata, Maryland. Her current practice location is 101 E Charles St Ste 104, La Plata, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 609-4800.

Dalisa Eboni Gutter is licensed to practice in Maryland (license number R261585) 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 1659957785.

Contact Information

	Dalisa Eboni Gutter, WHNP
	101 E Charles St Ste 104, La Plata, MD 20646-4901
	(301) 609-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Dalisa Eboni Gutter
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	101 E Charles St Ste 104, La Plata, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659957785
Provider Enumeration Date: 03/19/2021
Last Update Date: 10/20/2023

Medicare PECOS Information:

PECOS PAC ID: 9436545100
Enrollment ID: I20220405002321

Medical Identifiers

Medical identifiers for Dalisa Eboni Gutter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659957785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	R261585 (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. Dalisa Eboni Gutter allows following entities to bill medicare on her behalf.

Entity Name	The Physician And Midwife Collaborative Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386829794 PECOS PAC ID: 0648166405 Enrollment ID: O20201204001724

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. Dalisa Eboni Gutter 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
Dalisa Eboni Gutter, WHNP 900 Elkridge Landing Rd Fl 2, Linthicum, MD 21090-2924 Ph: (443) 462-5010	Dalisa Eboni Gutter, WHNP 101 E Charles St Ste 104, La Plata, MD 20646-4901 Ph: (301) 609-4800

Reviews and Comments

Nurse Practitioner Nurses in La Plata, MD

Mrs. Natasha Chinakesha Decaires-chester, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4287
Adwoa Amponsah-poku, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 N La Plata Ct Ste 101, La Plata, MD 20646 Phone: 301-609-5044
Gretchen Ann Machesney, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000
Ryan James Hess, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Saint Marys Ave Ste 100, La Plata, MD 20646 Phone: 301-542-4666
Jessica Lorraine Milton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115a La Grange Ave # A, La Plata, MD 20646 Phone: 301-392-1935
Mrs. Vontrese L Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Charles St, La Plata, MD 20646 Phone: 301-609-5006
Dr. Paul Michael Patterson, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115a La Grange Ave, Suite 101, La Plata, MD 20646 Phone: 301-392-1935 Fax: 301-392-1936

Dalisa Eboni Gutter, WHNP - Medicare Nurse Practitioner in La Plata, MD