Mrs Andrea C Fontanez, CRNP in Bel Air, MD - Medicare Nurse Practitioner

Mrs Andrea C Fontanez, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Bel Air, Maryland. Her current practice location is 1505 E Churchville Rd, Bel Air, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 420-6970.

Mrs Andrea C Fontanez is licensed to practice in Maryland (license number R176837) 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 1124721667.

Contact Information

	Mrs Andrea C Fontanez, CRNP
	1505 E Churchville Rd, Bel Air, MD 21014-4742
	(410) 420-6970
	(410) 420-6650

Map and Direction

Provider's Profile

Full Name	Mrs Andrea C Fontanez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1505 E Churchville Rd, Bel Air, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124721667
Provider Enumeration Date: 03/23/2023
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5193181055
Enrollment ID: I20230518001441

Medical Identifiers

Medical identifiers for Mrs Andrea C Fontanez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124721667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R176837 (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. Mrs Andrea C Fontanez allows following entities to bill medicare on her behalf.

Entity Name	Mnr Industries Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088

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. Mrs Andrea C Fontanez 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
Mrs Andrea C Fontanez, CRNP 2641 Cletus Dr, Manchester, MD 21102-1998 Ph: (443) 768-7470	Mrs Andrea C Fontanez, CRNP 1505 E Churchville Rd, Bel Air, MD 21014-4742 Ph: (410) 420-6970

Reviews and Comments

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Mrs Andrea C Fontanez, CRNP - Medicare Nurse Practitioner in Bel Air, MD