| |
17505 Madrillon Way Accokeek MD 20607-3457 | |
(301) 675-1652 | |
(240) 607-8461 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 17505 Madrillon Way, Accokeek, Maryland |
Authorized Official Name and Position | Nji Fru (OWNER) |
Authorized Official Contact | 3016751652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
17505 Madrillon Way Accokeek MD 20607-3457 Ph: (301) 675-1652 | 17505 Madrillon Way Accokeek MD 20607-3457 Ph: (301) 675-1652 |
NPI Number | 1356993034 |
---|---|
Provider Enumeration Date | 07/12/2019 |
Last Update Date | 08/23/2023 |
Certification Date | 08/23/2023 |
Medicare PECOS PAC ID | 1557760204 |
---|---|
Medicare Enrollment ID | O20210528001202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356993034 | NPI | - | NPPES |
091875814 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Nji Fru |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275893794 PECOS PAC ID: 8224374319 Enrollment ID: I20190110001390 |
Battles Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16811 Blue Indigo Ct, Accokeek, MD 20607 Phone: 240-602-4040 | |
Healthy Existence Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17003 Madrillon Way, Accokeek, MD 20607 Phone: 240-813-0015 | |
Kimcares Wellness Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15854 Livingston Rd, Accokeek, MD 20607 Phone: 202-875-9770 | |
Washington Educational Consultants (wec) Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2832 Admiral Ridge Rd, Accokeek, MD 20607 Phone: 240-476-3016 | |
Crzcares Counseling Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2502 Medinah Ridge Rd, Accokeek, MD 20607 Phone: 240-286-3195 |