Jubeth Fontanilla, in Parkville, MD - Medicare Nurse Practitioner

Jubeth Fontanilla, is a medicare enrolled "Nurse Practitioner - Adult Health" in Parkville, Maryland. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Erickson Health Medical Group Of Maryland, Pc, Liaqat Ali, Md Pa, Azra A Ahmed Md/pa and her current practice location is 8800 Walther Blvd, Parkville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 882-3240.

Jubeth Fontanilla is licensed to practice in Maryland (license number R165036) 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 1053808196.

Contact Information

	Jubeth Fontanilla,
	8800 Walther Blvd, Parkville, MD 21234-9001
	(410) 882-3240
	(410) 661-5093

Map and Direction

Provider's Profile

Full Name	Jubeth Fontanilla
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	8800 Walther Blvd, Parkville, 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:

Jubeth Fontanilla graduated from nursing school in 2018

NPI Data:

NPI Number: 1053808196
Provider Enumeration Date: 04/14/2018
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 4082979612
Enrollment ID: I20180531000184

Medical Identifiers

Medical identifiers for Jubeth Fontanilla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053808196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	R165036 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Erickson Health Medical Group Of Maryland, Pc	2860304136	36
Liaqat Ali, Md Pa	5799972352	3
Azra A Ahmed Md/pa	6507934395	3

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. Jubeth Fontanilla allows following entities to bill medicare on her behalf.

Entity Name	Erickson Health Medical Group Of Maryland, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598816449 PECOS PAC ID: 2860304136 Enrollment ID: O20080528000404

Entity Name	Azra A Ahmed Md/pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295916724 PECOS PAC ID: 6507934395 Enrollment ID: O20081007000253

Entity Name	Liaqat Ali, Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538475694 PECOS PAC ID: 5799972352 Enrollment ID: O20101208000439

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. Jubeth Fontanilla 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
Jubeth Fontanilla, 5730 Executive Dr Ste 230, Catonsville, MD 21228-1762 Ph: () -	Jubeth Fontanilla, 8800 Walther Blvd, Parkville, MD 21234-9001 Ph: (410) 882-3240

Reviews and Comments

Nurse Practitioner Nurses in Parkville, MD

Dr. Lawanda Rollins, DNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8831 Satyr Hill Rd Ste 100, Parkville, MD 21234 Phone: 443-946-1896 Fax: 443-495-2902
Kenneth Kibiriu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8511 Harford Rd Ste C, Parkville, MD 21234 Phone: 443-477-9514
Clara Abit, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Luiss Deane Dr, Parkville, MD 21234 Phone: 301-917-4386
Helen Nkiruka Onyeuba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8713 Harford Rd, Parkville, MD 21234 Phone: 301-204-7913
Mrs. Mercy Maxine Kanno, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8720 Emge Rd, Parkville, MD 21234 Phone: 410-668-1961
Mrs. Althea Mcleod, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 Clement Ave, Parkville, MD 21234 Phone: 410-961-9476

Jubeth Fontanilla, - Medicare Nurse Practitioner in Parkville, MD