Miss Adjovi Odilone Awouvi, MSN, APRN, FNP-C is a medicare enrolled "Dermatology" in Gaithersburg, Maryland. Her current practice location is
18310 Montgomery Village Ave Ste 300-g63, Gaithersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(240) 220-9309.
Miss Adjovi Odilone Awouvi is licensed to practice in Maryland (license number F07210805) 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 1568136588.
Provider's Profile
| Full Name | Miss Adjovi Odilone Awouvi |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 18310 Montgomery Village Ave Ste 300-g63, Gaithersburg, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568136588
- Provider Enumeration Date: 08/03/2021
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214329770
- Enrollment ID: I20220113002324
Medical Identifiers
Medical identifiers for Miss Adjovi Odilone Awouvi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568136588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F07210805 (Maryland) | Secondary |
| 207N00000X | Dermatology | F07210805 (Maryland) | Primary |
| 207N00000X | Dermatology | 0024190683 (Virginia) | Secondary |
| 207N00000X | Dermatology | NP1057201 (District Of Columbia) | Secondary |
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. Miss Adjovi Odilone Awouvi allows following entities to bill medicare on her behalf.
| Entity Name | Menon Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245636455
PECOS PAC ID: 3173848546
Enrollment ID: O20150205000668 |
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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. Miss Adjovi Odilone Awouvi 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 |
|---|
Miss Adjovi Odilone Awouvi, MSN, APRN, FNP-C
9636 Kanfer Ct,
Gaithersburg, MD 20886-5065
Ph: (301) 852-1662 | Miss Adjovi Odilone Awouvi, MSN, APRN, FNP-C
18310 Montgomery Village Ave Ste 300-g63,
Gaithersburg, MD 20879-3551
Ph: (240) 220-9309 |
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