| Dagenhart Health And Wellness, Llc | |
|
5301 Buckeystown Pike Ste 170 Frederick MD 21704-8380 | |
| (240) 575-9688 | |
| Not Available |
| Full Name | Dagenhart Health And Wellness, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5301 Buckeystown Pike Ste 170, Frederick, Maryland |
| Authorized Official Name and Position | Joseph C. Dagenhart (OWNER) |
| Authorized Official Contact | 2405759688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dagenhart Health And Wellness, Llc 5301 Buckeystown Pike Ste 170 Frederick MD 21704-8380 Ph: (240) 575-9688 | Dagenhart Health And Wellness, Llc 5301 Buckeystown Pike Ste 170 Frederick MD 21704-8380 Ph: (240) 575-9688 |
| NPI Number | 1912336736 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 2365817582 |
|---|---|
| Medicare Enrollment ID | O20230331000400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912336736 | NPI | - | NPPES |
| Provider Name | Eleanor K Bentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811181217 PECOS PAC ID: 3375679061 Enrollment ID: I20100406000141 |
| Provider Name | Julie Dagenhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672205 PECOS PAC ID: 3274908355 Enrollment ID: I20230403001071 |
| Provider Name | Alayne Ruth Holland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235776360 PECOS PAC ID: 8224484662 Enrollment ID: I20231021000227 |
| Provider Name | Samuel Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508434440 PECOS PAC ID: 0446691000 Enrollment ID: I20240514000936 |
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