Khadeja Qubla Ibn Baidoo, CRNP in Frederick, MD

Khadeja Qubla Ibn Baidoo, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Frederick, Maryland. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Opal Medical Group Pa and her current practice location is 4843 Marsden Pl, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (571) 275-6765.

Khadeja Qubla Ibn Baidoo is licensed to practice in Maryland (license number R214238) 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 1104467414.

Contact Information

	Khadeja Qubla Ibn Baidoo, CRNP
	4843 Marsden Pl, Frederick, MD 21703-6822
	(571) 275-6765
	Not Available

Map and Direction

Provider's Profile

Full Name	Khadeja Qubla Ibn Baidoo
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	4843 Marsden Pl, Frederick, 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:

Khadeja Qubla Ibn Baidoo graduated from nursing school in 2019

NPI Data:

NPI Number: 1104467414
Provider Enumeration Date: 10/08/2019
Last Update Date: 06/12/2020

Medicare PECOS Information:

PECOS PAC ID: 1052745379
Enrollment ID: I20191219001726

Medical Identifiers

Medical identifiers for Khadeja Qubla Ibn Baidoo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104467414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R214238 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R214238 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Opal Medical Group Pa	1658270301	8

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. Khadeja Qubla Ibn Baidoo allows following entities to bill medicare on her behalf.

Entity Name	Opal Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477639862 PECOS PAC ID: 1658270301 Enrollment ID: O20040102000138

Entity Name	Khadeja Family Practice, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255942231 PECOS PAC ID: 7315365129 Enrollment ID: O20200910002382

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. Khadeja Qubla Ibn Baidoo 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
Khadeja Qubla Ibn Baidoo, CRNP 4843 Marsden Pl, Frederick, MD 21703-6822 Ph: (571) 275-6765	Khadeja Qubla Ibn Baidoo, CRNP 4843 Marsden Pl, Frederick, MD 21703-6822 Ph: (571) 275-6765

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Khadeja Qubla Ibn Baidoo, CRNP - Medicare Nurse Practitioner in Frederick, MD