Melveena Johnson-bolden, PMHNP-BC in Upper Marlboro, MD

Melveena Johnson-bolden, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. Her current practice location is 1300 Mercantile Ln Ste 129-14, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 381-3622.

Melveena Johnson-bolden is licensed to practice in Maryland (license number R197061) 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 1922761956.

Contact Information

	Melveena Johnson-bolden, PMHNP-BC
	1300 Mercantile Ln Ste 129-14, Upper Marlboro, MD 20774-5327
	(301) 381-3622
	(877) 832-1272

Map and Direction

Provider's Profile

Full Name	Melveena Johnson-bolden
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1300 Mercantile Ln Ste 129-14, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922761956
Provider Enumeration Date: 10/17/2021
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 1456736404
Enrollment ID: I20230406000409

Medical Identifiers

Medical identifiers for Melveena Johnson-bolden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922761956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R197061 (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. Melveena Johnson-bolden allows following entities to bill medicare on her behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298

Entity Name	Mjb Holistic And Therapeutic Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093469231 PECOS PAC ID: 2961867429 Enrollment ID: O20230505001079

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. Melveena Johnson-bolden 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
Melveena Johnson-bolden, PMHNP-BC 12008 Hunterton St, Upper Marlboro, MD 20774-1614 Ph: (301) 807-7138	Melveena Johnson-bolden, PMHNP-BC 1300 Mercantile Ln Ste 129-14, Upper Marlboro, MD 20774-5327 Ph: (301) 381-3622

Reviews and Comments

Nurse Practitioner Nurses in Upper Marlboro, MD

Mrs. Olayemi O Johnson, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Valerian Ln, Upper Marlboro, MD 20774 Phone: 240-381-6576
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Gladys Momoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10081 Campus Way S, Upper Marlboro, MD 20774 Phone: 202-704-2920
Kehinde Olatunji, CRNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Capital Ct, Upper Marlboro, MD 20774 Phone: 301-618-0079
Ogo Tunde-sanya, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9520 Marlboro Pike Ste 201, Upper Marlboro, MD 20772 Phone: 301-957-7210 Fax: 301-604-0731
Frances Atuonah, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3912 Bishopmill Dr, Upper Marlboro, MD 20772 Phone: 202-710-6465

Melveena Johnson-bolden, PMHNP-BC - Medicare Nurse Practitioner in Upper Marlboro, MD