Ms Agnes Jennifer Kallon, CRNP - Medicare Nurse Practitioner in Greenbelt, MD

Ms Agnes Jennifer Kallon, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Greenbelt, Maryland. Her current practice location is 7300 Hanover Dr, Suite 301, Greenbelt, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 345-1800.

Ms Agnes Jennifer Kallon is licensed to practice in Maryland (license number R123473) 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 1043536790.

Contact Information

Ms Agnes Jennifer Kallon, CRNP
7300 Hanover Dr, Suite 301,
Greenbelt, MD 20770-2202
(301) 345-1800
(301) 345-3854



Provider's Profile

Full NameMs Agnes Jennifer Kallon
GenderFemale
SpecialityNurse Practitioner - Family
Location7300 Hanover Dr, Greenbelt, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043536790
  • Provider Enumeration Date: 04/20/2010
  • Last Update Date: 10/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6002082815
  • Enrollment ID: I20111228000713

Medical Identifiers

Medical identifiers for Ms Agnes Jennifer Kallon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043536790NPI-NPPES
R123473OtherMDLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R123473 (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. Ms Agnes Jennifer Kallon allows following entities to bill medicare on her behalf.
Entity NameFit For Life Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497934426
PECOS PAC ID: 8123089463
Enrollment ID: O20041020001092

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Entity NameChitra Venkatraman Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962431718
PECOS PAC ID: 3870554074
Enrollment ID: O20041021000273

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Entity NameJae3 Health And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215529805
PECOS PAC ID: 2365837580
Enrollment ID: O20220324001098

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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. Ms Agnes Jennifer Kallon 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
Ms Agnes Jennifer Kallon, CRNP
9607 Oxbridge Way,
Bowie, MD 20721-3035

Ph: (240) 691-9840
Ms Agnes Jennifer Kallon, CRNP
7300 Hanover Dr, Suite 301,
Greenbelt, MD 20770-2202

Ph: (301) 345-1800

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Nurse Practitioner Nurses in Greenbelt, MD

Mrs. Seliat Ajoke Dosunmu, PMHNP-BC, FNP-C, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7474 Greenway Center Dr # 202, Greenbelt, MD 20770
Phone: 410-609-7091    
Nora Eve Sullivan, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 115 Centerway Ste 104, Greenbelt, MD 20770
Phone: 240-424-0697    
Felicitas Onyekweli, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7313 Hanover Pkwy, Greenbelt, MD 20770
Phone: 301-477-2643    Fax: 301-498-7436
Ms. Bolanle Saba, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 111 Centerway Ste C2, Greenbelt, MD 20770
Phone: 240-670-4050    Fax: 240-201-2660
Mr. Christopher Wheatley, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7474 Greenway Center Dr Ste 700a, Greenbelt, MD 20770
Phone: 301-982-3437    
Abosede O Sobo, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7933 Belle Point Dr, Greenbelt, MD 20770
Phone: 240-755-4903    

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