| Health Plus Behavioral And Primary Care | |
|
115 Delaware Ave Glen Burnie MD 21061-3013 | |
| (443) 354-4477 | |
| Not Available |
| Full Name | Health Plus Behavioral And Primary Care |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 115 Delaware Ave, Glen Burnie, Maryland |
| Authorized Official Name and Position | Emmanuel Kamdem-sango (OWNER/PMHNP-BC) |
| Authorized Official Contact | 4335444774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Plus Behavioral And Primary Care 115 Delaware Ave Glen Burnie MD 21061-3013 Ph: (443) 354-4477 | Health Plus Behavioral And Primary Care 115 Delaware Ave Glen Burnie MD 21061-3013 Ph: (443) 354-4477 |
| NPI Number | 1578219515 |
|---|---|
| Provider Enumeration Date | 02/28/2022 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 3375930001 |
|---|---|
| Medicare Enrollment ID | O20220428000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578219515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Emmanuel Kamdem Sango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770080483 PECOS PAC ID: 0143574038 Enrollment ID: I20220428000749 |
| Provider Name | Doris Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932767472 PECOS PAC ID: 4688031065 Enrollment ID: I20240515002135 |
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