Mr Baffour Agyeman-duah Jr, PMHNP-BC in Leesburg, VA

Mr Baffour Agyeman-duah Jr, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Leesburg, Virginia. His current practice location is 102 Heritage Way Ne, Suite 302, Leesburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 771-5100.

Mr Baffour Agyeman-duah Jr is licensed to practice in Virginia (license number 0024177365) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225478100.

Contact Information

	Mr Baffour Agyeman-duah Jr, PMHNP-BC
	102 Heritage Way Ne, Suite 302, Leesburg, VA 20176-4544
	(703) 771-5100
	(703) 777-0170

Map and Direction

Provider's Profile

Full Name	Mr Baffour Agyeman-duah Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	102 Heritage Way Ne, Leesburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225478100
Provider Enumeration Date: 06/25/2013
Last Update Date: 03/01/2019

Medicare PECOS Information:

PECOS PAC ID: 4183085509
Enrollment ID: I20230802000983

Medical Identifiers

Medical identifiers for Mr Baffour Agyeman-duah Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225478100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001243595 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024177365 (Virginia)	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. Mr Baffour Agyeman-duah Jr allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20040710000183

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. Mr Baffour Agyeman-duah Jr 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
Mr Baffour Agyeman-duah Jr, PMHNP-BC 11015 Becontree Lake Dr Apt 204, Reston, VA 20190-4119 Ph: () -	Mr Baffour Agyeman-duah Jr, PMHNP-BC 102 Heritage Way Ne, Suite 302, Leesburg, VA 20176-4544 Ph: (703) 771-5100

Reviews and Comments

Nurse Practitioner Nurses in Leesburg, VA

Carol Gavin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19 Fort Evans Rd Ne Ste C, Leesburg, VA 20176 Phone: 703-737-2110 Fax: 703-737-2111
Gillian Zeile, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44035 Riverside Pkwy, Suite 300, Leesburg, VA 20176 Phone: 703-554-6800
Mrs. Megan Franklin Pirowski, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44055 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-8878
Mrs. Adrianne J Gruner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 Fort Evans Rd Ne, Leesburg, VA 20176 Phone: 703-443-2000
Alice R Spiros, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44035 Riverside Pkwy Ste 300, Leesburg, VA 20176 Phone: 703-554-6800 Fax: 703-724-7503
Darren John Hunt, RN, MSN, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy Ste 100, Leesburg, VA 20176 Phone: 703-858-8878 Fax: 703-858-8170
Mrs. Catherine Marie Staats, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-8878 Fax: 703-858-8701

Mr Baffour Agyeman-duah Jr, PMHNP-BC - Medicare Nurse Practitioner in Leesburg, VA