Fatoumata D Diallo, in Upper Marlboro, MD - Medicare Nurse Practitioner

Fatoumata D Diallo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. Her current practice location is 1300 Mercantile Ln # 129-2, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 272-1055.

Fatoumata D Diallo is licensed to practice in Maryland (license number R218923) 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 1073231924.

Contact Information

	Fatoumata D Diallo,
	1300 Mercantile Ln # 129-2, Upper Marlboro, MD 20774-5327
	(301) 272-1055
	(301) 272-1056

Map and Direction

Provider's Profile

Full Name	Fatoumata D Diallo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1300 Mercantile Ln # 129-2, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073231924
Provider Enumeration Date: 08/17/2022
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6406293042
Enrollment ID: I20240319001946

Medical Identifiers

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

Identifier	Type	State	Issuer
1073231924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R218923 (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. Fatoumata D Diallo allows following entities to bill medicare on her behalf.

Entity Name	Star Behavioral Health & Recovery Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255081550 PECOS PAC ID: 2466849591 Enrollment ID: O20220420000910

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 D Diallo 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 D Diallo, 1300 Mercantile Ln # 129-2, Upper Marlboro, MD 20774-5327 Ph: (301) 272-1055	Fatoumata D Diallo, 1300 Mercantile Ln # 129-2, Upper Marlboro, MD 20774-5327 Ph: (301) 272-1055

Reviews and Comments

Nurse Practitioner Nurses in Upper Marlboro, MD

Mrs. Olayemi O Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774 Phone: 240-381-6576
Keonie Morrisey, PMHNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5014 Forest Pines Dr, Upper Marlboro, MD 20772 Phone: 240-428-9191
Mrs. Shonte Renee Drakeford, APRN NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6610 Woodyard Road, Upper Marlboro, MD 20772 Phone: 240-899-1950
Gladys Momoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10081 Campus Way S, Upper Marlboro, MD 20774 Phone: 202-704-2920
Kehinde Olatunji, CRNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Capital Ct, Upper Marlboro, MD 20774 Phone: 301-618-0079
Ogo Tunde-sanya, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9520 Marlboro Pike Ste 201, Upper Marlboro, MD 20772 Phone: 301-957-7210 Fax: 301-604-0731
Frances Atuonah, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3912 Bishopmill Dr, Upper Marlboro, MD 20772 Phone: 202-710-6465

Fatoumata D Diallo, - Medicare Nurse Practitioner in Upper Marlboro, MD