| Premier Health Care, Llc | |
|
12073 Tech Rd Ste B Silver Spring MD 20904-7874 | |
| (240) 396-5873 | |
| Not Available |
| Full Name | Premier Health Care, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12073 Tech Rd Ste B, Silver Spring, Maryland |
| Authorized Official Name and Position | Tonya Dockery (BILLING MANAGER) |
| Authorized Official Contact | 3017474364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Care, Llc 12073 Tech Rd Ste B Silver Spring MD 20904-7874 Ph: (301) 747-4364 | Premier Health Care, Llc 12073 Tech Rd Ste B Silver Spring MD 20904-7874 Ph: (240) 396-5873 |
| NPI Number | 1285017822 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Medicare PECOS PAC ID | 7618285842 |
|---|---|
| Medicare Enrollment ID | O20151008000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285017822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Narayanan Ramesh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417950031 PECOS PAC ID: 3577466796 Enrollment ID: I20040325001511 |
| Provider Name | Umar Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376633321 PECOS PAC ID: 5092792713 Enrollment ID: I20040701000268 |
| Provider Name | Syed Asif H Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831284769 PECOS PAC ID: 6406897503 Enrollment ID: I20050525001263 |
| Provider Name | Samina Yousufi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487608196 PECOS PAC ID: 6507801511 Enrollment ID: I20050621000600 |
| Provider Name | Imelda T Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528163540 PECOS PAC ID: 3678572492 Enrollment ID: I20061205000415 |
| Provider Name | Theodore C Osuala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356428833 PECOS PAC ID: 3779661970 Enrollment ID: I20080428000556 |
| Provider Name | Ifeoma Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861453375 PECOS PAC ID: 2163471871 Enrollment ID: I20081003000500 |
| Provider Name | Kathryn Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265689715 PECOS PAC ID: 3375607435 Enrollment ID: I20090204000367 |
| Provider Name | Naveen Maddineni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700956810 PECOS PAC ID: 7810965159 Enrollment ID: I20090813000291 |
| Provider Name | Deborah Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497983662 PECOS PAC ID: 7113073016 Enrollment ID: I20090917000513 |
| Provider Name | Emmanuel R Oni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356597975 PECOS PAC ID: 1759563323 Enrollment ID: I20120404000235 |
| Provider Name | Shanique T Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265692115 PECOS PAC ID: 4587801998 Enrollment ID: I20130502000183 |
| Provider Name | Edner Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396171385 PECOS PAC ID: 3678700549 Enrollment ID: I20140311000666 |
| Provider Name | Folake D Aloba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255753489 PECOS PAC ID: 9436382249 Enrollment ID: I20140625000784 |
| Provider Name | Florence A Nwana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023443652 PECOS PAC ID: 8628291143 Enrollment ID: I20150730013162 |
| Provider Name | Tanya R Peete |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881902765 PECOS PAC ID: 2961702055 Enrollment ID: I20151120002147 |
| Provider Name | Africa M Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487063707 PECOS PAC ID: 0749502995 Enrollment ID: I20160203001104 |
| Provider Name | Victoria A Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386017911 PECOS PAC ID: 7810293719 Enrollment ID: I20160302001161 |
| Provider Name | Bisrat A Mesfin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770992596 PECOS PAC ID: 7719209626 Enrollment ID: I20160303000273 |
| Provider Name | Necole M Diggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205870847 PECOS PAC ID: 3577862531 Enrollment ID: I20160427000185 |
| Provider Name | Moronke O Aboyewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932644267 PECOS PAC ID: 4284911850 Enrollment ID: I20170605000896 |
| Provider Name | Efemwonyi Jesuorobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760835003 PECOS PAC ID: 7214202902 Enrollment ID: I20181121000815 |
| Provider Name | Momoh Makieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376198697 PECOS PAC ID: 6204167430 Enrollment ID: I20191023000099 |
| Provider Name | Sirah L Okoluku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855523 PECOS PAC ID: 3173956893 Enrollment ID: I20191210001531 |
| Provider Name | Terri Loretta-bernice Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336307883 PECOS PAC ID: 9133371123 Enrollment ID: I20200122000741 |
| Provider Name | Clara L Leath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972818243 PECOS PAC ID: 3577998293 Enrollment ID: I20200127000877 |
| Provider Name | Siyami Takha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760995021 PECOS PAC ID: 7911335658 Enrollment ID: I20200312000478 |
| Provider Name | Tymel O Cason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215571955 PECOS PAC ID: 0749619013 Enrollment ID: I20200408000150 |
| Provider Name | Joyce O Ericson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447635727 PECOS PAC ID: 0840584397 Enrollment ID: I20200414000133 |
| Provider Name | Kimberly S Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215573019 PECOS PAC ID: 6800218215 Enrollment ID: I20200611002588 |
| Provider Name | Brittany N Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497380620 PECOS PAC ID: 8921420381 Enrollment ID: I20200612001647 |
| Provider Name | Ogo Tunde Sanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043783046 PECOS PAC ID: 9830518232 Enrollment ID: I20201005001931 |
| Provider Name | Theresa K Liberatori |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699391771 PECOS PAC ID: 0840294542 Enrollment ID: I20201014001470 |
| Provider Name | Tameri A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225572142 PECOS PAC ID: 0547595894 Enrollment ID: I20201014001929 |
| Provider Name | Carli Pruitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053950949 PECOS PAC ID: 8628405446 Enrollment ID: I20210511000504 |
| Provider Name | Kumutha F Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225627136 PECOS PAC ID: 3173932670 Enrollment ID: I20210513002188 |
| Provider Name | Naomi Orevba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790318970 PECOS PAC ID: 3971904087 Enrollment ID: I20210628001084 |
| Provider Name | Banchayehu Gizaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992345888 PECOS PAC ID: 9739587619 Enrollment ID: I20211006002917 |
| Provider Name | Queen Bisola Mumuney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341856 PECOS PAC ID: 6800286899 Enrollment ID: I20211207000020 |
| Provider Name | Margaret Y Kamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497344659 PECOS PAC ID: 7214190933 Enrollment ID: I20211213000045 |
| Provider Name | Sharma M Ndum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346502432 PECOS PAC ID: 8224422191 Enrollment ID: I20220218002436 |
| Provider Name | Joan Nyongsona Forcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538899349 PECOS PAC ID: 2961873021 Enrollment ID: I20230127001640 |
| Provider Name | Liza Mcmahon-brlansky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912331711 PECOS PAC ID: 6002281144 Enrollment ID: I20230404000162 |
| Provider Name | Anyinkeng L Tazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245591973 PECOS PAC ID: 8426404328 Enrollment ID: I20231030001488 |
| Provider Name | Sherina Maryam Shamsa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316504848 PECOS PAC ID: 0345697009 Enrollment ID: I20231117000712 |
| Provider Name | Ivonne Nwadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750882841 PECOS PAC ID: 0547613044 Enrollment ID: I20240131004603 |
| Provider Name | Diane J Clonmell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134480130 PECOS PAC ID: 4183061666 Enrollment ID: I20240319003756 |
| Provider Name | Andrea J Foxworth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477794790 PECOS PAC ID: 1951748441 Enrollment ID: I20240320000054 |
| Provider Name | Gontran S Archer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568144400 PECOS PAC ID: 5193162691 Enrollment ID: I20240320000224 |
| Provider Name | Christen Sneed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891150801 PECOS PAC ID: 8325485303 Enrollment ID: I20240326003233 |
| Provider Name | Lacresha E Mitchener |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598396293 PECOS PAC ID: 0345687257 Enrollment ID: I20240326004415 |
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