Mr Sunny Besong Diffang, CRNP in Randallstown, MD - Medicare Nurse Practitioner

Mr Sunny Besong Diffang, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randallstown, Maryland. His current practice location is 3523 Corn Stream Rd, Randallstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 528-3866.

Mr Sunny Besong Diffang is licensed to practice in Maryland (license number R202090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407480817.

Contact Information

	Mr Sunny Besong Diffang, CRNP
	3523 Corn Stream Rd, Randallstown, MD 21133-2442
	(410) 528-3866
	Not Available

Provider's Profile

Full Name	Mr Sunny Besong Diffang
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3523 Corn Stream Rd, Randallstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407480817
Provider Enumeration Date: 02/24/2020
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 9537562095
Enrollment ID: I20210722001171

Medical Identifiers

Medical identifiers for Mr Sunny Besong Diffang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407480817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R202090 (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. Mr Sunny Besong Diffang allows following entities to bill medicare on his behalf.

Entity Name	Axis Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20081013000520

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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. Mr Sunny Besong Diffang 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
Mr Sunny Besong Diffang, CRNP 3523 Corn Stream Rd, Randallstown, MD 21133-2442 Ph: (410) 528-3866	Mr Sunny Besong Diffang, CRNP 3523 Corn Stream Rd, Randallstown, MD 21133-2442 Ph: (410) 528-3866

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Nurse Practitioner Nurses in Randallstown, MD

Margaret Mensa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Adrianne Ct, Randallstown, Randallstown, MD 21133 Phone: 410-655-6105
Devorah Howell, ACNP-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Mrs. Alimatu Kosnatu Nabie, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200
Bilikisu Adekanbi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3805 Kilburn Rd, Randallstown, MD 21133 Phone: 646-318-4816
Dr. Amelia Oretha Saydee, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9100 Meadow Heights Rd, Randallstown, MD 21133 Phone: 443-857-5012
Happiness Nwosu, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8933 Greens Ln, Randallstown, MD 21133 Phone: 443-632-7398
Nelly Enone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9429 Silver Charm Dr, Randallstown, MD 21133 Phone: 410-493-3070

Mr Sunny Besong Diffang, CRNP - Medicare Nurse Practitioner in Randallstown, MD

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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First in-human study of robotically assisted percutaneous coronary intervention system presented at 22nd TCT

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Nurse Practitioner Nurses in Randallstown, MD