Tenni O John-idiagbonya, FNP PMHNP in Catonsville, MD

Tenni O John-idiagbonya, FNP PMHNP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Catonsville, Maryland. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mellow Medical Inc A Professional Corporation and her current practice location is 55 Wade Ave, Catonsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 402-7718.

Tenni O John-idiagbonya is licensed to practice in Maryland (license number R187565) 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 1053850008.

Contact Information

	Tenni O John-idiagbonya, FNP PMHNP
	55 Wade Ave, Catonsville, MD 21228-4663
	(410) 402-7718
	Not Available

Map and Direction

Provider's Profile

Full Name	Tenni O John-idiagbonya
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	55 Wade Ave, Catonsville, 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:

Tenni O John-idiagbonya graduated from nursing school in 2020

NPI Data:

NPI Number: 1053850008
Provider Enumeration Date: 02/22/2017
Last Update Date: 09/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2668840638
Enrollment ID: I20221122003094

Medical Identifiers

Medical identifiers for Tenni O John-idiagbonya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053850008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	R187565 (Maryland)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95020016 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mellow Medical Inc A Professional Corporation	3375767403	27

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. Tenni O John-idiagbonya allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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. Tenni O John-idiagbonya 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
Tenni O John-idiagbonya, FNP PMHNP 55 Wade Ave, Catonsville, MD 21228-4663 Ph: (410) 402-7718	Tenni O John-idiagbonya, FNP PMHNP 55 Wade Ave, Catonsville, MD 21228-4663 Ph: (410) 402-7718

Reviews and Comments

Registered Nurse Nurses in Catonsville, MD

Jocelyn Marie Stoyer, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9 Briarleaf Ct, Catonsville, MD 21228 Phone: 410-206-2822
Sarah Nicole Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1502 Frederick Rd, Catonsville, MD 21228 Phone: 410-747-3287
Christen Boquard, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Park Dr, Catonsville, MD 21228 Phone: 410-375-1902
Dr. Chiamaka Adaku Nnah, RN, PMHNP-BC, DNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 405 Frederick Rd Ste 11, Catonsville, MD 21228 Phone: 443-468-4838 Fax: 410-231-6333
Ms. Angela Horman, R.N., I.B.C.L.C. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 318 Stonewall Rd, Catonsville, MD 21228 Phone: 410-788-8389
Caroline Pancotti, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 73 Garden Ridge Rd, Catonsville, MD 21228 Phone: 410-744-1667

Tenni O John-idiagbonya, FNP PMHNP - Medicare Nurse Practitioner in Catonsville, MD