Basil E Fomanka
Nurse Practitioner - Psychiatric/Mental Health
About Basil E Fomanka
Basil E Fomanka is a male healthcare professional specializing in Nurse Practitioner - Psychiatric/Mental Health with a focus on Psychiatric/Mental Health, registered under National Provider Identifier (NPI) number 1013621010.
Basil E Fomanka received his medical education at OTHER, graduating in 2022. Their primary practice is located at 6200 BALTIMORE AVE, Riverdale, Maryland 20737. Patients can reach the office at (443) 520-8138.
Basil E Fomanka is enrolled in Medicare and accepts Medicare patients, offers telehealth services for remote virtual consultations, is authorized to order and refer Medicare services. Basil E Fomanka has been NPI-registered since 2023.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1013621010
- Entity Type
- Individual
- First Name
- Basil
- Last Name
- Fomanka
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2022
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 6200 BALTIMORE AVE
- City
- Riverdale
- State
- Maryland
- ZIP
- 20737-1054
- Country
- United States
- Phone
- (443) 520-8138
Specialty & Taxonomy
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Classification
- Nurse Practitioner
- Specialization
- Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 6200 BALTIMORE AVE STE 300-R9
- City
- RIVERDALE
- State
- MD
- ZIP
- 207371054
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- Yes
- Excluded
- No
Frequently Asked Questions
What is Basil E Fomanka's NPI number?
What does Basil E Fomanka specialize in?
Where is Basil E Fomanka located?
Does Basil E Fomanka accept Medicare?
Does Basil E Fomanka offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Basil E Fomanka is 1013621010.