| 1st Medical Painrehab Center | |
|
20 Mayo Rd Ste 201 Edgewater MD 21037-1442 | |
| (410) 956-6800 | |
| (410) 956-6803 |
| Full Name | 1st Medical Painrehab Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Mayo Rd Ste 201, Edgewater, Maryland |
| Authorized Official Name and Position | Rosemary Ingado (CLINICAL ADMINISTRATOR) |
| Authorized Official Contact | 4109566800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 1st Medical Painrehab Center 20 Mayo Rd Suite 201 Edgewater MD 21037-1439 Ph: (410) 956-6800 | 1st Medical Painrehab Center 20 Mayo Rd Ste 201 Edgewater MD 21037-1442 Ph: (410) 956-6800 |
| NPI Number | 1902348659 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 01/23/2022 |
| Certification Date | 01/23/2022 |
| Medicare PECOS PAC ID | 4981017357 |
|---|---|
| Medicare Enrollment ID | O20201231000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902348659 | NPI | - | NPPES |
| 923020300 | Medicaid | MD |
| Provider Name | Patrick Kaguamba Nganga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982916607 PECOS PAC ID: 8426244500 Enrollment ID: I20101201000822 |
| Provider Name | Adeola Olotu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467890855 PECOS PAC ID: 7113159591 Enrollment ID: I20140417001230 |
| Provider Name | Arlene Sandra Kleinman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538559711 PECOS PAC ID: 2668791229 Enrollment ID: I20150501001691 |
| Provider Name | Bolaji O Olugboja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689005043 PECOS PAC ID: 2860793460 Enrollment ID: I20151228001255 |
| Provider Name | Perpetua Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083142442 PECOS PAC ID: 2466712310 Enrollment ID: I20180214001035 |
| Provider Name | Nancy Nyakundi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598134918 PECOS PAC ID: 7416243118 Enrollment ID: I20190320003062 |
| Provider Name | Mahrukh Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366081200 PECOS PAC ID: 1850708207 Enrollment ID: I20210413003012 |
Cornerstone Pastoral Care & Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Carvel Cir, Edgewater, MD 21037 Phone: 410-266-8596 Fax: 410-266-9740 | |
Arundel Lodge, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Solomons Island Rd, Edgewater, MD 21037 Phone: 443-433-5900 Fax: 410-841-6045 | |
Andrew T. Gergely, M.d.,l.c.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Mitchells Chance Rd, 260, Edgewater, MD 21037 Phone: 410-956-5300 Fax: 410-956-5301 | |
Collective Transformation Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1642 Shady Side Dr., Edgewater, MD 21037 Phone: 410-401-3621 | |
Healthy Hearts & Minds Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3601 Fontron Dr, Edgewater, MD 21037 Phone: 443-420-2826 | |
Arundel Lodge, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Solomons Island Rd, Edgewater, MD 21037 Phone: 443-433-5900 | |
Harbour House, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Widows Mite Rd, Edgewater, MD 21037 Phone: 410-255-3539 Fax: 443-378-3540 |