| Psychiatry Utopia Llc | |
|
10400 Connecticut Ave Ste 311 Kensington MD 20895-3942 | |
| (301) 404-8147 | |
| Not Available |
| Full Name | Psychiatry Utopia Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10400 Connecticut Ave Ste 311, Kensington, Maryland |
| Authorized Official Name and Position | Beserat Legesse Kibret (PMHNP) |
| Authorized Official Contact | 3014048147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Utopia Llc 2425 Georgia Ave Apt 81 Wheaton MD 20902 Ph: (130) 140-4814 | Psychiatry Utopia Llc 10400 Connecticut Ave Ste 311 Kensington MD 20895-3942 Ph: (301) 404-8147 |
| NPI Number | 1962287136 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 2668824863 |
|---|---|
| Medicare Enrollment ID | O20240123002543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962287136 | NPI | - | NPPES |
| Provider Name | Beserat Legesse Kibret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578139689 PECOS PAC ID: 9234526120 Enrollment ID: I20220422002197 |
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