Mrs Beltta Gangwab Tachi, - Medicare Counselor in Greenbelt, MD

Mrs Beltta Gangwab Tachi, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Greenbelt, Maryland. Her current practice location is 7501 Greenway Center Dr Ste 450, Greenbelt, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 432-7050.

Mrs Beltta Gangwab Tachi is licensed to practice in Maryland (license number R187251) 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 1124673777.

Contact Information

Mrs Beltta Gangwab Tachi,
7501 Greenway Center Dr Ste 450,
Greenbelt, MD 20770-3544
(240) 432-7050
Not Available

Healthcare Provider's Profile

Full NameMrs Beltta Gangwab Tachi
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7501 Greenway Center Dr Ste 450, Greenbelt, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124673777
  • Provider Enumeration Date: 08/08/2019
  • Last Update Date: 10/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325475155
  • Enrollment ID: I20200217002657

Medical Identifiers

Medical identifiers for Mrs Beltta Gangwab Tachi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124673777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health R187251 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R187251 (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. Mrs Beltta Gangwab Tachi allows following entities to bill medicare on her behalf.
Entity NameFidelity Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003400821
PECOS PAC ID: 4082022983
Enrollment ID: O20210414000224

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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. Mrs Beltta Gangwab Tachi 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
Mrs Beltta Gangwab Tachi,
2320 Holly Spring Dr,
Silver Spring, MD 20905-6403

Ph: (240) 432-7050
Mrs Beltta Gangwab Tachi,
7501 Greenway Center Dr Ste 450,
Greenbelt, MD 20770-3544

Ph: (240) 432-7050

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Nurse Practitioner in Greenbelt, MD


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