Albert Legrand Somo Dzati, | |
14304 Driftwood Rd, Bowie, MD 20721-3044 | |
(240) 260-3951 | |
Not Available |
Full Name | Albert Legrand Somo Dzati |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14304 Driftwood Rd, Bowie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134477664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R218461 (Maryland) | Primary |
Entity Name | Psychogeriatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803 |
Mailing Address | Practice Location Address |
---|---|
Albert Legrand Somo Dzati, 14304 Driftwood Rd, Bowie, MD 20721-3044 Ph: (202) 904-4216 | Albert Legrand Somo Dzati, 14304 Driftwood Rd, Bowie, MD 20721-3044 Ph: (240) 260-3951 |
Ms. Lawanis M Phillips, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715 Phone: 301-262-7800 | |
Obiageli Ogbodo, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 Laurel Bowie Rd Ste 209, Bowie, MD 20715 Phone: 240-206-8345 | |
Olabisi Muyinat Oladipo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13206 Steeplechase Dr, Bowie, MD 20715 Phone: 240-413-9883 | |
Dr. Rashaan Lamont Ballard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15459 Annapolis Rd, Bowie, MD 20715 Phone: 240-544-0676 | |
Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287 | |
Mrs. Melinda Toussaint, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 703-402-7605 | |
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197 |