Ability Healthcare Plus | |
9315 Piscataway Rd Clinton MD 20735-3631 | |
(240) 906-9797 | |
Not Available |
Full Name | Ability Healthcare Plus |
---|---|
Speciality | Clinic/Center |
Location | 9315 Piscataway Rd, Clinton, Maryland |
Authorized Official Name and Position | Eric Yenchi (OWNER) |
Authorized Official Contact | 2406431063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ability Healthcare Plus 8102 Kittama Dr Clinton MD 20735-3155 Ph: (240) 906-9797 | Ability Healthcare Plus 9315 Piscataway Rd Clinton MD 20735-3631 Ph: (240) 906-9797 |
NPI Number | 1730957382 |
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Provider Enumeration Date | 12/13/2023 |
Last Update Date | 07/17/2024 |
Certification Date | 07/17/2024 |
Medicare PECOS PAC ID | 9133572886 |
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Medicare Enrollment ID | O20240129003843 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730957382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Eric Yenchi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346723970 PECOS PAC ID: 4789008327 Enrollment ID: I20200716000122 |
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