Adutwumwaa Addo, PMHNP-BC - Medicare Nurse Practitioner in Newark, NJ

Adutwumwaa Addo, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Newark, New Jersey. Her current practice location is 12 Chadwick Ave, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 866-9540.

Adutwumwaa Addo is licensed to practice in Georgia (license number RN294404) 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 1033994876.

Contact Information

Adutwumwaa Addo, PMHNP-BC
12 Chadwick Ave,
Newark, NJ 07108-1606
(973) 866-9540
Not Available



Provider's Profile

Full NameAdutwumwaa Addo
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12 Chadwick Ave, Newark, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033994876
  • Provider Enumeration Date: 08/29/2023
  • Last Update Date: 11/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850748773
  • Enrollment ID: I20231122000130

Medical Identifiers

Medical identifiers for Adutwumwaa Addo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033994876NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN294404 (Georgia)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. Adutwumwaa Addo allows following entities to bill medicare on her behalf.
Entity NameResiliency Behavioral Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164203881
PECOS PAC ID: 5597112417
Enrollment ID: O20231114001131

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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. Adutwumwaa Addo 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
Adutwumwaa Addo, PMHNP-BC
12 Chadwick Ave,
Newark, NJ 07108-1606

Ph: (973) 706-2218
Adutwumwaa Addo, PMHNP-BC
12 Chadwick Ave,
Newark, NJ 07108-1606

Ph: (973) 866-9540

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Nurse Practitioner Nurses in Newark, NJ

Mr. Michael C Cadorette, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102
Phone: 866-949-0108    
Casey Yeonjoo Cho, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-6938    
Mrs. Kisha Tamara Anderson, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 151 Washington St, Newark, NJ 07102
Phone: 973-622-3900    Fax: 973-622-1698
Sabitri Nesbitt, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 151 Washington St, Newark, NJ 07102
Phone: 973-622-3900    Fax: 973-622-1698
Marva Monique, Natasha Barbour, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 394 University Ave, Newark, NJ 07102
Phone: 973-877-6171    
Francois Joseph Nguetsop,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 394 University Ave, Newark, NJ 07102
Phone: 973-204-6545    
Debra J Brouwer, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7000    

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