Jie Kong, CRNP MSN in Columbia, MD - Medicare Nurse Practitioner

Jie Kong, CRNP MSN is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Maryland. Her current practice location is 10802 Hickory Ridge Rd, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 997-1336.

Jie Kong is licensed to practice in Maryland (license number R143501) 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 1215040951.

Contact Information

	Jie Kong, CRNP MSN
	10802 Hickory Ridge Rd, Columbia, MD 21044-3622
	(410) 997-1336
	(410) 997-1636

Map and Direction

Provider's Profile

Full Name	Jie Kong
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10802 Hickory Ridge Rd, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215040951
Provider Enumeration Date: 08/16/2006
Last Update Date: 01/26/2017

Medicare PECOS Information:

PECOS PAC ID: 3870594732
Enrollment ID: I20070122000076

Medical Identifiers

Medical identifiers for Jie Kong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215040951	NPI	-	NPPES
5707	Other	MD	ELDERHEALTH
038278500	Medicaid	DC
783571	Other	MD	NATIONAL CAPITAL PPO
90192801	Other	MD	BLUE CROSS OF MARYLAND
293176	Other	MD	KAISER
1013404	Other	MD	COVENTRY
1215040951	Medicaid	MD
N1510003	Other	MD	BLUE CROSS FEDERAL
1013404	Other	VA	FIRST HEALTH
411436100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R143501 (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. Jie Kong allows following entities to bill medicare on her behalf.

Entity Name	Adventist Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376623207 PECOS PAC ID: 4284631540 Enrollment ID: O20061030000122

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. Jie Kong 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
Jie Kong, CRNP MSN 10802 Hickory Ridge Rd, Columbia, MD 21044-3622 Ph: (410) 997-1336	Jie Kong, CRNP MSN 10802 Hickory Ridge Rd, Columbia, MD 21044-3622 Ph: (410) 997-1336

Reviews and Comments

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Jie Kong, CRNP MSN - Medicare Nurse Practitioner in Columbia, MD