M&m Behavioral Health Systems | |
9613 Harford Rd Ste C #1061 Baltimore MD 21234-2150 | |
(410) 800-4471 | |
Not Available |
Full Name | M&m Behavioral Health Systems |
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Speciality | Nurse Practitioner |
Location | 9613 Harford Rd, Baltimore, Maryland |
Authorized Official Name and Position | Kevin J Peter (CREDENTIALING MANAGER) |
Authorized Official Contact | 5308686944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M&m Behavioral Health Systems 4105 Daylily Dr Owings Mills MD 21117-5034 Ph: (443) 672-7028 | M&m Behavioral Health Systems 9613 Harford Rd Ste C #1061 Baltimore MD 21234-2150 Ph: (410) 800-4471 |
NPI Number | 1881219848 |
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Provider Enumeration Date | 06/15/2020 |
Last Update Date | 09/17/2020 |
Certification Date | 09/17/2020 |
Medicare PECOS PAC ID | 8224457528 |
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Medicare Enrollment ID | O20210322001151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881219848 | NPI | - | NPPES |
Provider Name | Modinat Oluwatoyin Fagbenro |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063061034 PECOS PAC ID: 4880017664 Enrollment ID: I20200713001852 |
Provider Name | Christine Alero Kalu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427627066 PECOS PAC ID: 6305244401 Enrollment ID: I20211004002126 |
Provider Name | Janet Adetola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700585809 PECOS PAC ID: 1759749724 Enrollment ID: I20230623000016 |
Provider Name | Jennifer Nicole Freeman |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023617396 PECOS PAC ID: 4082065537 Enrollment ID: I20240112001648 |
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