| Greater Baden Medical Service At Brandywine | |
|
7450 Albert Rd Fl 2 Brandywine MD 20613-3035 | |
| (301) 888-2233 | |
| (301) 888-9133 |
| Full Name | Greater Baden Medical Service At Brandywine |
|---|---|
| Speciality | Clinic/Center |
| Location | 7450 Albert Rd Fl 2, Brandywine, Maryland |
| Authorized Official Name and Position | Jeffrey A Kurcab (CFO) |
| Authorized Official Contact | 3015992172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Baden Medical Service At Brandywine 7450 Albert Rd Fl 3 Brandywine MD 20613-3035 Ph: (301) 888-2233 | Greater Baden Medical Service At Brandywine 7450 Albert Rd Fl 2 Brandywine MD 20613-3035 Ph: (301) 888-2233 |
| NPI Number | 1912927344 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 4981632650 |
|---|---|
| Medicare Enrollment ID | O20051017000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912927344 | NPI | - | NPPES |
| 911431900 | Medicaid | MD |
| Provider Name | Debra A Vereen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437168036 PECOS PAC ID: 0042236309 Enrollment ID: I20051017000774 |
| Provider Name | Samuel Croff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962411561 PECOS PAC ID: 6204852569 Enrollment ID: I20051017000792 |
| Provider Name | Debra S Apperson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629087184 PECOS PAC ID: 2264458520 Enrollment ID: I20051017000832 |
| Provider Name | Andrea R Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093821977 PECOS PAC ID: 5890711162 Enrollment ID: I20051017000845 |
| Provider Name | Charles Key Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631218 PECOS PAC ID: 0446241301 Enrollment ID: I20051220000513 |
| Provider Name | Alicia Renee Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316091317 PECOS PAC ID: 8527076272 Enrollment ID: I20060322000638 |
| Provider Name | Georgia L Bewayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669524898 PECOS PAC ID: 3779660782 Enrollment ID: I20080401000624 |
| Provider Name | George P Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891865325 PECOS PAC ID: 0840476495 Enrollment ID: I20110516000354 |
| Provider Name | Susan T Cheseldine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679592422 PECOS PAC ID: 9931377728 Enrollment ID: I20110721000646 |
| Provider Name | Allanna D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396009155 PECOS PAC ID: 8628228251 Enrollment ID: I20121017000310 |
| Provider Name | Sheila J Mosee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447555669 PECOS PAC ID: 0749508695 Enrollment ID: I20150406001398 |
| Provider Name | Saida M Sanusi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457343071 PECOS PAC ID: 1658683594 Enrollment ID: I20150706002405 |
| Provider Name | Sheriff Daramy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245456318 PECOS PAC ID: 6002128550 Enrollment ID: I20150713000103 |
| Provider Name | Margaret A Truyens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851574131 PECOS PAC ID: 6901884097 Enrollment ID: I20150820009930 |
| Provider Name | Laurel A Howe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386047900 PECOS PAC ID: 9133435712 Enrollment ID: I20150827000315 |
| Provider Name | Nicola Henry |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1073801932 PECOS PAC ID: 2860709854 Enrollment ID: I20150924000243 |
| Provider Name | Keon M Vasudevan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265793897 PECOS PAC ID: 4789823303 Enrollment ID: I20151005000020 |
| Provider Name | Evangeline C Obi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376771279 PECOS PAC ID: 2062660038 Enrollment ID: I20160328000080 |
| Provider Name | Inara Omuso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144764259 PECOS PAC ID: 1456604594 Enrollment ID: I20181019000542 |
| Provider Name | Chintan P Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275893257 PECOS PAC ID: 0143486787 Enrollment ID: I20190208000313 |
| Provider Name | Nekia Oriana Barrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073875829 PECOS PAC ID: 3375839400 Enrollment ID: I20190806002437 |
| Provider Name | Freda Ansah Larbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013452101 PECOS PAC ID: 6800225046 Enrollment ID: I20200409000134 |
| Provider Name | Letha M Healey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972733590 PECOS PAC ID: 3375974405 Enrollment ID: I20200505002661 |
| Provider Name | Lenora D Woolary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699292169 PECOS PAC ID: 7517398274 Enrollment ID: I20200513000089 |
| Provider Name | Amar A Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346697760 PECOS PAC ID: 5092009563 Enrollment ID: I20200903002670 |
| Provider Name | Shauna Pettis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902133143 PECOS PAC ID: 9931507332 Enrollment ID: I20211015002036 |
| Provider Name | Mari C Iturbe Ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760821193 PECOS PAC ID: 5991088379 Enrollment ID: I20211105002334 |
| Provider Name | Sandie Lontouo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861089732 PECOS PAC ID: 6800280462 Enrollment ID: I20220224000030 |
| Provider Name | Dawn Alicia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114648607 PECOS PAC ID: 1254701261 Enrollment ID: I20230109002832 |
| Provider Name | Shelley Deanna Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073236774 PECOS PAC ID: 2264804376 Enrollment ID: I20230217000386 |
| Provider Name | Jessica Ofosua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801515788 PECOS PAC ID: 3375915473 Enrollment ID: I20230221003094 |
| Provider Name | Bretha Michelle Harris |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770291460 PECOS PAC ID: 6406228477 Enrollment ID: I20230222000222 |
| Provider Name | Razia Parveen Sultana Syed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316257728 PECOS PAC ID: 9335497437 Enrollment ID: I20230224000657 |
| Provider Name | Clarence Mcneil Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740755594 PECOS PAC ID: 7416320957 Enrollment ID: I20230302001740 |
| Provider Name | Sungbum Park |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366692147 PECOS PAC ID: 4183078322 Enrollment ID: I20230921003717 |
| Provider Name | Alexis M Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720862915 PECOS PAC ID: 4082069265 Enrollment ID: I20231007000078 |
| Provider Name | Rachel R Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265092647 PECOS PAC ID: 4880920537 Enrollment ID: I20231129000033 |
| Provider Name | Manuel Antonio Ruiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326743428 PECOS PAC ID: 4789036997 Enrollment ID: I20240123003185 |
Hearts In Mind Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13205 Whitaker Park Dr, Brandywine, MD 20613 Phone: 301-442-5653 | |
Just Breathe Recovery And Wellness Centers, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14306 Kathleen Ln, Brandywine, MD 20613 Phone: 330-256-3850 | |
Beyond Dynamic Potential Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15230 Regina Dr, Brandywine, MD 20613 Phone: 240-844-2441 | |
Wholistic Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12014 Crestwood Ave S, Brandywine, MD 20613 Phone: 240-299-5985 | |
Lifestyle Innovations Counseling And Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15912 Crain Hwy Ste B125, Brandywine, MD 20613 Phone: 202-627-9892 | |
Gift 2 Uplift Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13305 Arya Dr, Brandywine, MD 20613 Phone: 301-782-7200 | |
Evolution Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15401 Wylie Rd, Brandywine, MD 20613 Phone: 202-374-0609 Fax: 301-808-6562 |