Glory Tataw, in Ellicott City, MD - Medicare Registered Nurse

Glory Tataw, is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Ellicott City, Maryland. Her current practice location is 3203a Corporate Ct, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 205-2458.

Glory Tataw is licensed to practice in Maryland (license number R222480) 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 1033782115.

Contact Information

	Glory Tataw,
	3203a Corporate Ct, Ellicott City, MD 21042-2247
	(410) 205-2458
	Not Available

Map and Direction

Provider's Profile

Full Name	Glory Tataw
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health
Location	3203a Corporate Ct, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033782115
Provider Enumeration Date: 07/19/2021
Last Update Date: 08/15/2022

Medicare PECOS Information:

PECOS PAC ID: 7113303082
Enrollment ID: I20220929001755

Medical Identifiers

Medical identifiers for Glory Tataw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033782115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	R222480 (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. Glory Tataw allows following entities to bill medicare on her behalf.

Entity Name	A Glorious Place Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043952880 PECOS PAC ID: 4587040456 Enrollment ID: O20220929001683

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. Glory Tataw 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
Glory Tataw, 3203a Corporate Ct, Ellicott City, MD 21042-2247 Ph: (410) 205-2458	Glory Tataw, 3203a Corporate Ct, Ellicott City, MD 21042-2247 Ph: (410) 205-2458

Reviews and Comments

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Glory Tataw, - Medicare Registered Nurse in Ellicott City, MD