| Beatus Healthcare Services Llc | |
|
49b Joyceton Ter Upper Marlboro MD 20774-1341 | |
| (240) 305-5298 | |
| Not Available |
| Full Name | Beatus Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 49b Joyceton Ter, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Lazare Shadzeka (PROVIDE) |
| Authorized Official Contact | 2403055298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beatus Healthcare Services Llc 49b Joyceton Ter Upper Marlboro MD 20774-1341 Ph: (240) 305-5298 | Beatus Healthcare Services Llc 49b Joyceton Ter Upper Marlboro MD 20774-1341 Ph: (240) 305-5298 |
| NPI Number | 1144944141 |
|---|---|
| Provider Enumeration Date | 10/03/2022 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Medicare PECOS PAC ID | 5698146702 |
|---|---|
| Medicare Enrollment ID | O20230128000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144944141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lazare Shadzeka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760015010 PECOS PAC ID: 4789094822 Enrollment ID: I20201102000412 |
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