|
| |
|
8707 Commerce Dr Ste E Easton MD 21601-6910 | |
| (410) 855-4664 | |
| (855) 461-3481 |
| Full Name | |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8707 Commerce Dr Ste E, Easton, Maryland |
| Authorized Official Name and Position | Aisha Hassan-davis (OWNER/PROVIDER) |
| Authorized Official Contact | 4432392033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8707 Commerce Dr Ste E Easton MD 21601-6910 Ph: (443) 239-2033 | 8707 Commerce Dr Ste E Easton MD 21601-6910 Ph: (410) 855-4664 |
| NPI Number | 1609449677 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 01/25/2025 |
| Certification Date | 01/25/2025 |
| Medicare PECOS PAC ID | 1052718673 |
|---|---|
| Medicare Enrollment ID | O20210924001114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609449677 | NPI | - | NPPES |
| 250696270 | Medicaid | DE | |
| 206453701 | Medicaid | MD |
| Provider Name | Stephane Sia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376963975 PECOS PAC ID: 7911122155 Enrollment ID: I20140711001472 |
| Provider Name | Aisha Hassan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951004 PECOS PAC ID: 9638585557 Enrollment ID: I20210301001712 |
| Provider Name | Jacqueline C Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619504867 PECOS PAC ID: 8820427065 Enrollment ID: I20210510002120 |
Coastal Counseling & Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 S Hanson St Ste 5, Easton, MD 21601 Phone: 443-786-5437 | |
Talbot County Public Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Magnolia St, Easton, MD 21601 Phone: 410-822-0330 Fax: 410-822-3959 | |
Susan Knade Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N West St Ste A, Easton, MD 21601 Phone: 410-310-6215 | |
Terry P Detrich Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S Washington St, Easton, MD 21601 Phone: 410-822-6677 Fax: 410-820-5717 | |
Talbot County Public Schools Infant & Toddler Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Magnolia St, Easton, MD 21601 Phone: 410-822-0330 Fax: 410-822-3959 | |
Community Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8614 Ocean Gtwy, Easton, MD 21601 Phone: 844-224-5264 Fax: 888-509-0010 | |
Be Medicine Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 N West St Ste 1, Easton, MD 21601 Phone: 301-541-8403 |