Modinat Oluwatoyin Fagbenro, PMHNP-BC - Medicare Nurse Practitioner in Owings Mills, MD

Modinat Oluwatoyin Fagbenro, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Owings Mills, Maryland. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mandm Behavioral Health Systems and her current practice location is 4105 Daylily Dr, Owings Mills, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 800-4471.

Modinat Oluwatoyin Fagbenro is licensed to practice in Maryland (license number R210603) 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 1063061034.

Contact Information

Modinat Oluwatoyin Fagbenro, PMHNP-BC
4105 Daylily Dr,
Owings Mills, MD 21117-5034
(410) 800-4471
Not Available



Provider's Profile

Full NameModinat Oluwatoyin Fagbenro
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location4105 Daylily Dr, Owings Mills, 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:
  • Modinat Oluwatoyin Fagbenro graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1063061034
  • Provider Enumeration Date: 09/11/2019
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880017664
  • Enrollment ID: I20200713001852

Medical Identifiers

Medical identifiers for Modinat Oluwatoyin Fagbenro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063061034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R210603 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mandm Behavioral Health Systems82244575282

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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. Modinat Oluwatoyin Fagbenro allows following entities to bill medicare on her behalf.
Entity NameArundel Mental Health Professionals Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073649521
PECOS PAC ID: 4981688173
Enrollment ID: O20040615001556

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Entity NameBaltimore Washington Counseling Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780066175
PECOS PAC ID: 3779897731
Enrollment ID: O20150804005058

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Entity NameHarmony Counceling Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861981276
PECOS PAC ID: 3678829363
Enrollment ID: O20180711001213

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Entity NameM&m Behavioral Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881219848
PECOS PAC ID: 8224457528
Enrollment ID: O20210322001151

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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. Modinat Oluwatoyin Fagbenro 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
Modinat Oluwatoyin Fagbenro, PMHNP-BC
4105 Daylily Dr,
Owings Mills, MD 21117-5034

Ph: (410) 800-4471
Modinat Oluwatoyin Fagbenro, PMHNP-BC
4105 Daylily Dr,
Owings Mills, MD 21117-5034

Ph: (410) 800-4471

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Nurse Practitioner Nurses in Owings Mills, MD

Adedayo Temitope Omobo, CRNP-PMH
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10999 Red Run Blvd Ste 205, Owings Mills, MD 21117
Phone: 240-462-7690    
Jennifer Pullmann, RN, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117
Phone: 410-602-7792    Fax: 410-602-9889
Amanda Harner, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 100 Campus Cir, Owings Mills, MD 21117
Phone: 443-352-4200    
Samson Olanrewaju Arigbamu, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10451 Mill Run Cir Ste 730, Owings Mills, MD 21117
Phone: 410-303-0057    Fax: 410-358-4938
Nkiru Nonso-ekweozoh, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9419 Common Brook Rd Ste 208, Owings Mills, MD 21117
Phone: 410-864-0211    Fax: 410-618-4163
Judith W. Ryan, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117
Phone: 410-654-8602    Fax: 410-654-8709
Ms. Natasha L Loving, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4554 Hidden Stream Ct, Owings Mills, MD 21117
Phone: 443-373-6081    

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