| Adequate Healthcare Llc | |
|
4301 Northview Dr Bowie MD 20716-2600 | |
| (877) 707-7790 | |
| (877) 775-6657 |
| Full Name | Adequate Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4301 Northview Dr, Bowie, Maryland |
| Authorized Official Name and Position | Vera Ngezem (OWNER) |
| Authorized Official Contact | 8777077790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adequate Healthcare Llc 4301 Northview Dr Bowie MD 20716-2600 Ph: (240) 554-7792 | Adequate Healthcare Llc 4301 Northview Dr Bowie MD 20716-2600 Ph: (877) 707-7790 |
| NPI Number | 1942812441 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Medicare PECOS PAC ID | 6406276369 |
|---|---|
| Medicare Enrollment ID | O20201014001073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942812441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Vera Ngezem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598316796 PECOS PAC ID: 2264868538 Enrollment ID: I20200204002588 |
| Provider Name | Lilian Leanyuy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477809937 PECOS PAC ID: 0941678775 Enrollment ID: I20221128002898 |
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