Mr Colman Ejerenwa, NP in Baltimore, MD - Medicare Nurse Practitioner

Mr Colman Ejerenwa, NP is a medicare enrolled "Nurse Practitioner - Family" in Baltimore, Maryland. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice M Medical Group, Inc. and his current practice location is 1922 W Pratt Street, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 536-0044.

Mr Colman Ejerenwa is licensed to practice in Maryland (license number R197772) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821635749.

Contact Information

	Mr Colman Ejerenwa, NP
	1922 W Pratt Street, Baltimore, MD 21223
	(301) 536-0044
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Colman Ejerenwa
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	1922 W Pratt Street, Baltimore, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Colman Ejerenwa graduated from nursing school in 2019

NPI Data:

NPI Number: 1821635749
Provider Enumeration Date: 12/10/2019
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 1254769342
Enrollment ID: I20200324003214

Medical Identifiers

Medical identifiers for Mr Colman Ejerenwa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821635749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R197772 (Maryland)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R197772 (Maryland)	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. Mr Colman Ejerenwa allows following entities to bill medicare on his behalf.

Entity Name	Quick Care Clinic Usa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245858240 PECOS PAC ID: 7315364205 Enrollment ID: O20200824001130

Entity Name	M Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20200902001506

Entity Name	Toller Enterprises, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952

Entity Name	Quick Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790484236 PECOS PAC ID: 7214302934 Enrollment ID: O20230412000298

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 Colman Ejerenwa 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 Colman Ejerenwa, NP 1922 W Pratt Street, Baltimore, MD 21223 Ph: (301) 536-0044	Mr Colman Ejerenwa, NP 1922 W Pratt Street, Baltimore, MD 21223 Ph: (301) 536-0044

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Mr Colman Ejerenwa, NP - Medicare Nurse Practitioner in Baltimore, MD