Mrs Ntaobasi Patrick Udeh, AGACNP-BC in Hanover, MD

Mrs Ntaobasi Patrick Udeh, AGACNP-BC is a medicare enrolled "Nurse Practitioner" in Hanover, Maryland. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivy Medical Group Pllc, Ivy Medical Group Pllc, Daniel Funsch Jr, M.d., P.c., Ca Post Acute Specialists Pc, Ivy Medical Group Pllc, Daniel Funsch Jr, M.d., P.c., Ivy Medical Group Pllc and her current practice location is 6158 Fairbourne Ct, Hanover, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 856-0529.

Mrs Ntaobasi Patrick Udeh is licensed to practice in Maryland (license number R229826) 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 1578990693.

Contact Information

	Mrs Ntaobasi Patrick Udeh, AGACNP-BC
	6158 Fairbourne Ct, Hanover, MD 21076-1000
	(240) 856-0529
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ntaobasi Patrick Udeh
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	6158 Fairbourne Ct, Hanover, 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:

Mrs Ntaobasi Patrick Udeh graduated from nursing school in 2013

NPI Data:

NPI Number: 1578990693
Provider Enumeration Date: 10/03/2013
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 1254691140
Enrollment ID: I20250415002583

Medical Identifiers

Medical identifiers for Mrs Ntaobasi Patrick Udeh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578990693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R229826 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frederick Health Hospital	Frederick, MD	Hospital
Larkin Chase Center	Bowie, MD	Nursing home
Kent Regency Center	Warwick, RI	Nursing home
Grand Islander Center	Middletown, RI	Nursing home
Franklin Woods Center	Baltimore, MD	Nursing home
Doctors Community Rehabilitation And Patient Care	Lanham, MD	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivy Medical Group Pllc	4981097797	122
Ivy Medical Group Pllc	4981097797	122
Daniel Funsch Jr, M.d., P.c.	1951801836	110
Ca Post Acute Specialists Pc	7911273248	4
Ivy Medical Group Pllc	4981097797	122
Daniel Funsch Jr, M.d., P.c.	1951801836	110
Ivy Medical Group Pllc	4981097797	122

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 Ntaobasi Patrick Udeh allows following entities to bill medicare on her behalf.

Entity Name	Post Acute Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114441565 PECOS PAC ID: 1951676568 Enrollment ID: O20200407001623

Entity Name	Ivy Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250115000879

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 Ntaobasi Patrick Udeh 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 Ntaobasi Patrick Udeh, AGACNP-BC 6158 Fairbourne Ct, Hanover, MD 21076-1000 Ph: (240) 856-0529	Mrs Ntaobasi Patrick Udeh, AGACNP-BC 6158 Fairbourne Ct, Hanover, MD 21076-1000 Ph: (240) 856-0529

Reviews and Comments

Nurse Practitioner Nurses in Hanover, MD

Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7550 Teague Rd Ste 500, Hanover, MD 21076 Phone: 410-412-3964
Taylor Lynea Mcknight, MSN, APRN, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7250 Parkway Dr Ste 120, Hanover, MD 21076 Phone: 443-949-0814 Fax: 443-949-0825
Ms. Sandra C. Shanahan, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7556 Teague Road, Suite 210, Hanover, MD 21076 Phone: 410-551-0499 Fax: 410-799-9070
Michael Volker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7556 Teague Rd Ste 210, Hanover, MD 21076 Phone: 410-551-0499
Francesca Dominguez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7250 Parkway Dr Ste 500, Hanover, MD 21076 Phone: 443-949-0814
Linda Marie Baldaia, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7556 Teague Rd, Maryland Primary Care Physicians, Hanover, MD 21076 Phone: 410-541-0499 Fax: 410-799-9070
Ms. Emily Eastburn Hart, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7250 Parkway Dr, Suite 500, Hanover, MD 21076 Phone: 443-949-0814

Mrs Ntaobasi Patrick Udeh, AGACNP-BC - Medicare Nurse Practitioner in Hanover, MD