Ida Mabelle Konchou, HHA in Takoma Park, MD - Medicare Nurse Practitioner

Ida Mabelle Konchou, HHA is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Takoma Park, Maryland. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifebridge Community Physicians Inc and her current practice location is 6731 New Hampshire Ave Apt 409, Takoma Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 545-0935.

Ida Mabelle Konchou is licensed to practice in Maryland (license number R207705) 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 1134482078.

Contact Information

	Ida Mabelle Konchou, HHA
	6731 New Hampshire Ave Apt 409, Takoma Park, MD 20912-2801
	(202) 545-0935
	(202) 545-0934

Map and Direction

Provider's Profile

Full Name	Ida Mabelle Konchou
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	6731 New Hampshire Ave Apt 409, Takoma Park, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ida Mabelle Konchou graduated from nursing school in 2020

NPI Data:

NPI Number: 1134482078
Provider Enumeration Date: 06/15/2012
Last Update Date: 03/20/2020

Medicare PECOS Information:

PECOS PAC ID: 6608291190
Enrollment ID: I20200730002814

Medical Identifiers

Medical identifiers for Ida Mabelle Konchou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134482078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R207705 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sinai Hospital Of Baltimore	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifebridge Community Physicians Inc	3678751468	184

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. Ida Mabelle Konchou allows following entities to bill medicare on her behalf.

Entity Name	Lifebridge Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318

Entity Name	Windrush Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124404421 PECOS PAC ID: 5890002224 Enrollment ID: O20150917002164

Entity Name	Tida Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902549728 PECOS PAC ID: 3375923865 Enrollment ID: O20220629003826

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. Ida Mabelle Konchou 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
Ida Mabelle Konchou, HHA 6731 New Hampshire Ave Apt 409, Takoma Park, MD 20912-2801 Ph: (202) 545-0935	Ida Mabelle Konchou, HHA 6731 New Hampshire Ave Apt 409, Takoma Park, MD 20912-2801 Ph: (202) 545-0935

Reviews and Comments

Nurse Practitioner Nurses in Takoma Park, MD

Lovinna Onyejiaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7505 New Hampshire Ave Ste 308, Takoma Park, MD 20912 Phone: 240-281-3574 Fax: 240-641-8970
Ms. Katia Garcia Reinert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7610 Carroll Ave, Suite 280, Takoma Park, MD 20912 Phone: 301-891-6100 Fax: 301-891-5834
Mrs. Joanna Marie Holt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600
Nneoma M Oguguo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7676 New Hampshire Ave Ste 420, Takoma Park, MD 20912 Phone: 240-552-0267
Ms. Jannie Lee Doh-lao, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600
Ima Sasu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600

Ida Mabelle Konchou, HHA - Medicare Nurse Practitioner in Takoma Park, MD