Ayisatu Brooks-salami, | |
176 Chamberlain Dr, Fate, TX 75189-4915 | |
(347) 330-3066 | |
Not Available |
Full Name | Ayisatu Brooks-salami |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 176 Chamberlain Dr, Fate, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437703105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP141741 (Texas) | Primary |
Entity Name | Northeast Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20170518000594 |
Mailing Address | Practice Location Address |
---|---|
Ayisatu Brooks-salami, 176 Chamberlain Dr, Fate, TX 75189-4915 Ph: (347) 330-3066 | Ayisatu Brooks-salami, 176 Chamberlain Dr, Fate, TX 75189-4915 Ph: (347) 330-3066 |
Mildred Okumu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 146 Blair Dr, Fate, TX 75189 Phone: 678-900-7582 | |
Mrs. Andrea Ellis Gordhamer, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 448 Ella Ln, Fate, TX 75087 Phone: 716-777-2915 | |
Cecilia Chanda, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 W Fate Main Pl, Fate, TX 75087 Phone: 443-616-9698 | |
Leigha Williams, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 306 Hackberry Dr, Fate, TX 75087 Phone: 409-771-9333 | |
Sylvain Nitcheu Tientcheu, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 Aeronca Dr, Fate, TX 75087 Phone: 469-333-5056 Fax: 469-338-5074 | |
Mrs. Christina Dongmo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 Hawks Dr, Fate, TX 75087 Phone: 945-546-8690 |