Ms Josie Dantzler, CRNP is a medicare enrolled "Clinic/center - Multi-specialty" in Baltimore, Maryland. Her current practice location is
5209 York Rd, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 417-5297.
Ms Josie Dantzler is licensed to practice in Maryland (license number R150037) 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 1992219885.
Provider's Profile
| Full Name | Ms Josie Dantzler |
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| Gender | Female |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 5209 York Rd, Baltimore, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992219885
- Provider Enumeration Date: 11/30/2017
- Last Update Date: 03/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749514180
- Enrollment ID: I20190619000478
Medical Identifiers
Medical identifiers for Ms Josie Dantzler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992219885 | NPI | - | NPPES |
| PENDING | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | R150037 (Maryland) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | R150037 (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. Ms Josie Dantzler allows following entities to bill medicare on her behalf.
| Entity Name | A Platform To Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922623891 PECOS PAC ID: 8325463920 Enrollment ID: O20200729003424 |
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| Entity Name | Harvest Of Hope Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124688833 PECOS PAC ID: 3375941099 Enrollment ID: O20211012000008 |
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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. Ms Josie Dantzler 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 |
Ms Josie Dantzler, CRNP 5209 York Rd, Baltimore, MD 21212-4225 Ph: (410) 417-5297 | Ms Josie Dantzler, CRNP 5209 York Rd, Baltimore, MD 21212-4225 Ph: (410) 417-5297 |
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