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

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Ms Siyami Egbase Takha, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Charles, Maryland. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 12070 Old Line Ctr Ste 211, Saint Charles, Maryland. You can reach out to her office (for appointments etc.) via phone at (202) 600-6748.

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 211,
Saint Charles, MD 20602-2567
(202) 600-6748
(800) 521-0943

Map and Direction




Provider's Profile

Full NameMs Siyami Egbase Takha
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location12070 Old Line Ctr Ste 211, Saint Charles, Maryland
Accepts Medicare AssignmentsYes. 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: 03/05/2026
  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.
IdentifierTypeStateIssuer
1760995021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care R194882 (Maryland)Secondary
363LP0808XNurse 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 NamePsychogeriatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588689483
PECOS PAC ID: 6002719226
Enrollment ID: O20040128000532
Entity NameAwesome Experience Psychiatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Ms Siyami Egbase Takha, CRNP
12070 Old Line Ctr Ste 211,
Saint Charles, MD 20602-2567

Ph: (202) 600-6748		Ms Siyami Egbase Takha, CRNP
12070 Old Line Ctr Ste 211,
Saint Charles, MD 20602-2567

Ph: (202) 600-6748

Reviews and Comments


Nurse Practitioner Nurses in Saint Charles, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.