Ms Siyami Egbase Takha, CRNP in Waldorf, MD - Medicare Nurse Practitioner

Ms Siyami Egbase Takha, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waldorf, Maryland. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 12070 Old Line Ctr Ste 209, Waldorf, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 705-4133.

Ms Siyami Egbase Takha is licensed to practice in Maryland (license number R194882) 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 1760995021.

Contact Information

	Ms Siyami Egbase Takha, CRNP
	12070 Old Line Ctr Ste 209, Waldorf, MD 20602-2567
	(202) 705-4133
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Siyami Egbase Takha
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	12070 Old Line Ctr Ste 209, Waldorf, 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:

Ms Siyami Egbase Takha graduated from nursing school in 2019

NPI Data:

NPI Number: 1760995021
Provider Enumeration Date: 11/08/2017
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7911335658
Enrollment ID: I20200313000005

Medical Identifiers

Medical identifiers for Ms Siyami Egbase Takha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760995021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	R194882 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R194882 (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 Siyami Egbase Takha allows following entities to bill medicare on her behalf.

Entity Name	Psychogeriatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532

Entity Name	Awesome Experience Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457949018 PECOS PAC ID: 0143635342 Enrollment ID: O20210729003628

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 Siyami Egbase Takha 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 Siyami Egbase Takha, CRNP 30007 Business Center Dr, Charlotte Hall, MD 20622-3101 Ph: (301) 997-1300	Ms Siyami Egbase Takha, CRNP 12070 Old Line Ctr Ste 209, Waldorf, MD 20602-2567 Ph: (202) 705-4133

Reviews and Comments

Nurse Practitioner Nurses in Waldorf, MD

Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Post Office Rd Ste 302, Waldorf, MD 20602 Phone: 240-353-2516 Fax: 240-448-8893
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994
Ayanna Riley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11610 Lewisham Pl Apt 305, Waldorf, MD 20602 Phone: 201-667-8892
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556

Ms Siyami Egbase Takha, CRNP - Medicare Nurse Practitioner in Waldorf, MD