Nkiruka E Booth, CRNP in Ellicott City, MD - Medicare Nurse Practitioner

Nkiruka E Booth, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Ellicott City, Maryland. Her current practice location is 3300a Centennial Ln, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 792-5104.

Nkiruka E Booth is licensed to practice in Maryland (license number R224045) 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 1538902911.

Contact Information

	Nkiruka E Booth, CRNP
	3300a Centennial Ln, Ellicott City, MD 21042-3600
	(301) 792-5104
	Not Available

Map and Direction

Provider's Profile

Full Name	Nkiruka E Booth
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3300a Centennial Ln, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538902911
Provider Enumeration Date: 06/14/2024
Last Update Date: 01/26/2025

Medicare PECOS Information:

PECOS PAC ID: 6305374729
Enrollment ID: I20250114000670

Medical Identifiers

Medical identifiers for Nkiruka E Booth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538902911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R224045 (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. Nkiruka E Booth allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20050127001141

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. Nkiruka E Booth 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
Nkiruka E Booth, CRNP 3300a Centennial Ln, Ellicott City, MD 21042-3600 Ph: (866) 389-2727	Nkiruka E Booth, CRNP 3300a Centennial Ln, Ellicott City, MD 21042-3600 Ph: (301) 792-5104

Reviews and Comments

Nurse Practitioner Nurses in Ellicott City, MD

Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453
Mrs. Isabella K Mate, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3219 Corporate Ct, Ellicott City, MD 21042 Phone: 410-220-0396 Fax: 410-220-2264
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700
Glory Tataw, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3203a Corporate Ct, Ellicott City, MD 21042 Phone: 410-205-2458

Nkiruka E Booth, CRNP - Medicare Nurse Practitioner in Ellicott City, MD