Slessor Mah Toh-fombang, - Medicare Nurse Practitioner in Columbus, OH

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Slessor Mah Toh-fombang, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Columbus, Ohio. Her current practice location is 6400 E Broad St Ste 400, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 655-3345.

Slessor Mah Toh-fombang is licensed to practice in Ohio (license number APRN.CNP.0030416) 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 1205509452.

Contact Information

Slessor Mah Toh-fombang,
6400 E Broad St Ste 400,
Columbus, OH 43213-2979
(614) 655-3345
(614) 317-4689

Map and Direction




Provider's Profile

Full NameSlessor Mah Toh-fombang
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6400 E Broad St Ste 400, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205509452
  • Provider Enumeration Date: 07/25/2021
  • Last Update Date: 02/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557757432
  • Enrollment ID: I20220331002668

Medical Identifiers

Medical identifiers for Slessor Mah Toh-fombang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205509452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN.456245 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0030416 (Ohio)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. Slessor Mah Toh-fombang allows following entities to bill medicare on her behalf.
Entity NameMichael G Saribalas Do Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275720591
PECOS PAC ID: 6709974959
Enrollment ID: O20071121000446
Entity NameColumbus Neighborhood Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578985453
PECOS PAC ID: 3678469129
Enrollment ID: O20140721000618
Entity NameMount Carmel Behavioral Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033693569
PECOS PAC ID: 0446595383
Enrollment ID: O20190813003387
Entity NameAutumn Treatment Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225601826
PECOS PAC ID: 6002204344
Enrollment ID: O20211019002513

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. Slessor Mah Toh-fombang 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
Slessor Mah Toh-fombang,
8732 Linick Dr,
Reynoldsburg, OH 43068-4782

Ph: (614) 772-4473		Slessor Mah Toh-fombang,
6400 E Broad St Ste 400,
Columbus, OH 43213-2979

Ph: (614) 655-3345

Reviews and Comments


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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).

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