Joan Fomboh Telazie-simons, RN is a
Registered Nurse based in Scott Air Force Base, Illinois. Joan Fomboh Telazie-simons is licensed to practice in Maryland (license number R226483) and her current practice location is
310 W Losey St, Scott Air Force Base, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 256-9355.
NPI number for Joan Fomboh Telazie-simons is 1033450952 and her current mailing address is 310 W Losey St, Scott Air Force Base, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033450952.
Provider's Profile
Full Name | Joan Fomboh Telazie-simons |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 310 W Losey St, Scott Air Force Base, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033450952
- Provider Enumeration Date: 03/04/2013
- Last Update Date: 09/30/2025
Medical Identifiers
Medical identifiers for Joan Fomboh Telazie-simons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033450952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R226483 (Maryland) | Primary |
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. Joan Fomboh Telazie-simons is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Joan Fomboh Telazie-simons, RN 310 W Losey St, Scott Air Force Base, IL 62225-5250 Ph: (618) 256-9355 | Joan Fomboh Telazie-simons, RN 310 W Losey St, Scott Air Force Base, IL 62225-5250 Ph: (618) 256-9355 |
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