Akukeng Mba, | |
13208 Deerfield Rd, Laurel, MD 20708-2005 | |
(301) 793-4761 | |
Not Available |
Full Name | Akukeng Mba |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 13208 Deerfield Rd, Laurel, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043686876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R185268 (Maryland) | Secondary |
363L00000X | Nurse Practitioner | R185268 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diversity Health Clinic, Llc | 6002228202 | 2 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Privia Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170616001775 |
Entity Name | Diversity Health Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780286732 PECOS PAC ID: 6002228202 Enrollment ID: O20201211001658 |
Mailing Address | Practice Location Address |
---|---|
Akukeng Mba, 13208 Deerfield Rd, Laurel, MD 20708-2005 Ph: (301) 793-4761 | Akukeng Mba, 13208 Deerfield Rd, Laurel, MD 20708-2005 Ph: (301) 793-4761 |
Judith Tangi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8125 Mallard Shore Dr, Laurel, MD 20724 Phone: 240-838-4012 | |
Ms. Gloria Asiamah Fosu, RN, MSN, PMHMP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14502 Greenview Dr Suit 455, Laurel, MD 20708 Phone: 240-752-4513 | |
Basil E Fomanka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14201 Oxford Dr, Laurel, MD 20707 Phone: 443-520-8138 | |
Andria Pryce, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Fairlane Pl, Laurel, MD 20708 Phone: 240-701-2838 | |
Mrs. Bodil Lynn Morris, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13801 Belle Chasse Blvd, Unit 211, Laurel, MD 20707 Phone: 407-232-5062 | |
Ms. Florence A Nwana, CRNP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13639 Baltimore Ave, Laurel, MD 20707 Phone: 301-604-4830 Fax: 301-604-4929 | |
Making Mpaka, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16305 Gales Ct, Laurel, MD 20707 Phone: 301-404-0726 |