Modinat Oluwatoyin Fagbenro, PMHNP-BC in Lutherville Timonium, MD

Modinat Oluwatoyin Fagbenro, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lutherville Timonium, Maryland. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mandm Behavioral Health Systems and her current practice location is 22 W Padonia Rd Ste C252, Lutherville Timonium, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 768-6088.

Modinat Oluwatoyin Fagbenro is licensed to practice in Maryland (license number R210603) 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 1063061034.

Contact Information

	Modinat Oluwatoyin Fagbenro, PMHNP-BC
	22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093-2241
	(410) 768-6088
	(410) 768-6444

Map and Direction

Provider's Profile

Full Name	Modinat Oluwatoyin Fagbenro
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	22 W Padonia Rd Ste C252, Lutherville Timonium, 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:

Modinat Oluwatoyin Fagbenro graduated from nursing school in 2019

NPI Data:

NPI Number: 1063061034
Provider Enumeration Date: 09/11/2019
Last Update Date: 01/20/2026

Medicare PECOS Information:

PECOS PAC ID: 4880017664
Enrollment ID: I20200713001852

Medical Identifiers

Medical identifiers for Modinat Oluwatoyin Fagbenro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063061034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R210603 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mandm Behavioral Health Systems	8224457528	2

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. Modinat Oluwatoyin Fagbenro allows following entities to bill medicare on her behalf.

Entity Name	Harmony Counceling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861981276 PECOS PAC ID: 3678829363 Enrollment ID: O20180711001213

Entity Name	M&m Behavioral Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881219848 PECOS PAC ID: 8224457528 Enrollment ID: O20210322001151

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. Modinat Oluwatoyin Fagbenro 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
Modinat Oluwatoyin Fagbenro, PMHNP-BC 4105 Daylily Dr, Owings Mills, MD 21117-5034 Ph: (410) 800-4471	Modinat Oluwatoyin Fagbenro, PMHNP-BC 22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093-2241 Ph: (410) 768-6088

Reviews and Comments

Nurse Practitioner Nurses in Lutherville Timonium, MD

Marie Dominique Ashen, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10755 Falls Rd, Pavilion 1 Suite 360, Lutherville Timonium, MD 21093 Phone: 410-583-2740 Fax: 410-583-2741
Katherine Stout, DNP, CRNP FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Texas Station Ct, Lutherville Timonium, MD 21093 Phone: 410-828-7417
Ms. Allegra Jacqueline Hamman, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10753 Falls Rd, Johns Hopkins At Green Spring Suite 315, Lutherville Timonium, MD 21093 Phone: 410-583-2926 Fax: 410-583-2883
Kelly E Alilio, DNP, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Lambeth Bridge Ct, Lutherville Timonium, MD 21093 Phone: 443-306-8077
Susan W Ettinger, MSN,NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2360 W Joppa Rd, Lutherville Timonium, MD 21093 Phone: 410-847-3535
Kathy Colahar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 W Padonia Rd Ste C252, Lutherville Timonium, MD 21093 Phone: 410-672-7028

Modinat Oluwatoyin Fagbenro, PMHNP-BC - Medicare Nurse Practitioner in Lutherville Timonium, MD