Reginald Eugene Degrafenreid Jr, NP, PMH-NP in Baltimore, MD

Reginald Eugene Degrafenreid Jr, NP, PMH-NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Baltimore, Maryland. His current practice location is 1866 Reisterstown Rd, F, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 484-5642.

Reginald Eugene Degrafenreid Jr is licensed to practice in Maryland (license number R193260) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699149492.

Contact Information

	Reginald Eugene Degrafenreid Jr, NP, PMH-NP
	1866 Reisterstown Rd, F, Baltimore, MD 21208-1335
	(410) 484-5642
	(410) 484-5541

Map and Direction

Provider's Profile

Full Name	Reginald Eugene Degrafenreid Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1866 Reisterstown Rd, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699149492
Provider Enumeration Date: 11/18/2015
Last Update Date: 09/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2062713605
Enrollment ID: I20151223001655

Medical Identifiers

Medical identifiers for Reginald Eugene Degrafenreid Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699149492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R193260 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R193260 (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. Reginald Eugene Degrafenreid Jr allows following entities to bill medicare on his behalf.

Entity Name	Sinai Hospital Of Baltimore, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043235666 PECOS PAC ID: 0941112346 Enrollment ID: O20031104000353

Entity Name	Msi Bel Air Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861824963 PECOS PAC ID: 3779705140 Enrollment ID: O20141119002013

Entity Name	Equanimity Integrated Behavioral Health & Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013561976 PECOS PAC ID: 5496176638 Enrollment ID: O20200526002822

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. Reginald Eugene Degrafenreid Jr 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
Reginald Eugene Degrafenreid Jr, NP, PMH-NP 1411 Glendale Rd, Baltimore, MD 21239-1408 Ph: (410) 733-2544	Reginald Eugene Degrafenreid Jr, NP, PMH-NP 1866 Reisterstown Rd, F, Baltimore, MD 21208-1335 Ph: (410) 484-5642

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

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Reginald Eugene Degrafenreid Jr, NP, PMH-NP - Medicare Nurse Practitioner in Baltimore, MD