Fatoumata Bah, NURSE PRACTITIONER in Bristol, CT

Fatoumata Bah, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Bristol, Connecticut. Her current practice location is 83 Gregory Rd, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Fatoumata Bah is licensed to practice in Connecticut (license number 12.013008) 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 1629838644.

Contact Information

	Fatoumata Bah, NURSE PRACTITIONER
	83 Gregory Rd, Bristol, CT 06010-3239
	(000) 000-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Fatoumata Bah
Gender	Female
Speciality	Nurse Practitioner
Location	83 Gregory Rd, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629838644
Provider Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8527594050
Enrollment ID: I20241209000216

Medical Identifiers

Medical identifiers for Fatoumata Bah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629838644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	12.013008 (Connecticut)	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. Fatoumata Bah allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048

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. Fatoumata Bah 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
Fatoumata Bah, NURSE PRACTITIONER 83 Gregory Rd, Bristol, CT 06010-3239 Ph: () -	Fatoumata Bah, NURSE PRACTITIONER 83 Gregory Rd, Bristol, CT 06010-3239 Ph: (000) 000-0000

Reviews and Comments

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Fatoumata Bah, NURSE PRACTITIONER - Medicare Nurse Practitioner in Bristol, CT