MONICK FANBA
NPI 1093196990
Physician Assistant - Medical in Upper Marlboro, MD

Active since June 16, 2015PECOS Enrolled
2502 MOORES PLAINS BLVD, UPPER MARLBORO, MD 20774(240) 510-5218 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Monick Fanba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONICK FANBA (NPI 1093196990) is an individual medical provider in Upper Marlboro, Maryland, licensed in Maryland (C0005761) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093196990
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMONICK FANBA
Location Address2502 MOORES PLAINS BLVDUpper Marlboro, MD 20774-8027
Mailing Address2502 Moores Plains BlvdUpper Marlboro, MD 20774-8027 · (240) 510-5218
Sole ProprietorYes
Enumeration DateJune 16, 2015
NPI 1093196990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C0005761
2502 MOORES PLAINS BLVD, Upper Marlboro, MD 20774

Medicare Participation & PECOS Enrollment Status

Monick Fanba is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MONICK FANBA

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093196990, enumerated as an "individual" on June 16, 2015.

The provider is located at 2502 MOORES PLAINS BLVD UPPER MARLBORO, MD 20774 and the phone number is (240) 510-5218.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.