Yvonne Etenyi Fomengia, CRNP - Medicare Nurse Practitioner in Berlin, MD

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Yvonne Etenyi Fomengia, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Berlin, Maryland. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Change Health Systems, Inc, Della Behavioral Health Services and her current practice location is 9715 Healthway Dr, Berlin, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 873-3214.

Yvonne Etenyi Fomengia is licensed to practice in Maryland (license number R146729) 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 1215286810.

Contact Information

Yvonne Etenyi Fomengia, CRNP
9715 Healthway Dr,
Berlin, MD 21811
(410) 873-3214
Not Available

Map and Direction




Provider's Profile

Full NameYvonne Etenyi Fomengia
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location9715 Healthway Dr, Berlin, 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:
  • Yvonne Etenyi Fomengia graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1215286810
  • Provider Enumeration Date: 08/29/2012
  • Last Update Date: 08/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0840449872
  • Enrollment ID: I20121005000408

Medical Identifiers

Medical identifiers for Yvonne Etenyi Fomengia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215286810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R146729 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Change Health Systems, Inc93352064655
Della Behavioral Health Services397175500052

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. Yvonne Etenyi Fomengia allows following entities to bill medicare on her behalf.
Entity NameFive Star Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083654479
PECOS PAC ID: 3779572862
Enrollment ID: O20040528000495
Entity NameGenesis Eldercare Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881635183
PECOS PAC ID: 9830002534
Enrollment ID: O20050124000329
Entity NameChange Health Systems, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558414862
PECOS PAC ID: 9335206465
Enrollment ID: O20090317000486
Entity NameMdics Rehabilitative Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124313309
PECOS PAC ID: 4981861903
Enrollment ID: O20120206000334
Entity NameDella Behavioral Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750635207
PECOS PAC ID: 3971755000
Enrollment ID: O20121218000204
Entity NameGps Physician Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881109452
PECOS PAC ID: 9739447400
Enrollment ID: O20180117001189
Entity NamePrime Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164990818
PECOS PAC ID: 7214277839
Enrollment ID: O20200501000120

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. Yvonne Etenyi Fomengia 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
Yvonne Etenyi Fomengia, CRNP
12801 Gessford Ct,
Beltsville, MD 20705

Ph: (301) 419-2919		Yvonne Etenyi Fomengia, CRNP
9715 Healthway Dr,
Berlin, MD 21811

Ph: (410) 873-3214

Reviews and Comments


Nurse Practitioner Nurses in Berlin, MD

Pennie Dalton Savage, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9715 Healthway Dr, Berlin, MD 21811
Phone: 410-548-2343    Fax: 844-332-3891
John A Hancock, CRNP, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9715 Healthway Dr, Berlin, MD 21811
Phone: 410-548-2343    Fax: 844-332-3891
Lisa H Bayles, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10231 Old Ocean City Blvd, Suite 210, Berlin, MD 21811
Phone: 410-629-6870    Fax: 410-641-3140
Tracey Wooden,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9733 Healthway Dr, Berlin, MD 21811
Phone: 410-629-6886    
Mrs. Leslie Ann Lake, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9858 Shore Break Ln Apt 311, Berlin, MD 21811
Phone: 912-689-9322    
Dr. Jordan Pearson Braniff, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11101 Cathage Rd, Berlin, MD 21811
Phone: 410-912-6104    
Ms. Julianne Judge Mcbride, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 314 Franklin Ave Ste 103, Berlin, MD 21811
Phone: 443-513-4231    

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.