Supreme Mental Wellness Limited Liability Company - Medicare Mental Health Clinic in Clinton, MD

Supreme Mental Wellness Limited Liability Company is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Clinton, Maryland. The current practice location for Supreme Mental Wellness Limited Liability Company is 8222 Schultz Rd Ste 102, Clinton, Maryland. For appointments, you can reach them via phone at (240) 486-1560. The mailing address for Supreme Mental Wellness Limited Liability Company is 8222 Schultz Rd Ste 102, Clinton, Maryland and phone number is (240) 486-1560.

Supreme Mental Wellness Limited Liability Company is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386477636. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (240) 486-1560.

Contact Information

Supreme Mental Wellness Limited Liability Company
8222 Schultz Rd Ste 102
Clinton
MD 20735-2607
(240) 486-1560
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSupreme Mental Wellness Limited Liability Company
SpecialityClinic/Center
Location8222 Schultz Rd Ste 102, Clinton, Maryland
Authorized Official Name and PositionOlakunle Ayanwale (PRESIDENT)
Authorized Official Contact2404861560
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Supreme Mental Wellness Limited Liability Company
8222 Schultz Rd Ste 102
Clinton
MD 20735-2607

Ph: (240) 486-1560
Supreme Mental Wellness Limited Liability Company
8222 Schultz Rd Ste 102
Clinton
MD 20735-2607

Ph: (240) 486-1560

NPI Details:

NPI Number1386477636
Provider Enumeration Date08/22/2024
Last Update Date08/22/2024
Certification Date08/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3678006608
Medicare Enrollment IDO20241030001006

Medical Identifiers

Medical identifiers for Supreme Mental Wellness Limited Liability Company such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386477636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Supreme Mental Wellness Limited Liability Company acts as a billing entity for following providers:
Provider NameOlakunle Idris Ayanwale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518314681
PECOS PAC ID: 0840689949
Enrollment ID: I20211111000048

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.