| Caritas Bhs | |
|
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 | |
| (443) 910-5658 | |
| Not Available |
| Full Name | Caritas Bhs |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5457 Twin Knolls Rd Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Gaelle Nyasa (CEO) |
| Authorized Official Contact | 2404912882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caritas Bhs 2020 Brigadier Blvd Odenton MD 21113-1038 Ph: (240) 491-2882 | Caritas Bhs 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 Ph: (443) 910-5658 |
| NPI Number | 1942933379 |
|---|---|
| Provider Enumeration Date | 07/04/2022 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Medicare PECOS PAC ID | 3476938325 |
|---|---|
| Medicare Enrollment ID | O20220914000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942933379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gaelle Nyasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144781196 PECOS PAC ID: 7113251596 Enrollment ID: I20190619002417 |
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