| M&t Healthcare Services Llc | |
|
9201 Edgeworth Dr Unit 3412 Capitol Heights MD 20791-7505 | |
| (301) 735-6036 | |
| Not Available |
| Full Name | M&t Healthcare Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9201 Edgeworth Dr Unit 3412, Capitol Heights, Maryland |
| Authorized Official Name and Position | Gladys Tombise Ekema Mosaso (PROVIDER/OWNER) |
| Authorized Official Contact | 3017356036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M&t Healthcare Services Llc 9201 Edgeworth Dr Unit 3412 Capitol Heights MD 20791-7505 Ph: (301) 735-6036 | M&t Healthcare Services Llc 9201 Edgeworth Dr Unit 3412 Capitol Heights MD 20791-7505 Ph: (301) 735-6036 |
| NPI Number | 1508621772 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 1355787631 |
|---|---|
| Medicare Enrollment ID | O20240308001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508621772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gladys Tombise Ekema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003423385 PECOS PAC ID: 2264878545 Enrollment ID: I20240308001459 |
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