Derick Sonjong, PMHNP-BC | |
4507 Lyons Run Cir Apt T3, Owings Mills, MD 21117-6979 | |
(571) 277-0779 | |
Not Available |
Full Name | Derick Sonjong |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4507 Lyons Run Cir Apt T3, Owings Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851047690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R204750 (Maryland) | Primary |
Entity Name | Post Acute Physician Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710385554 PECOS PAC ID: 8224353891 Enrollment ID: O20150203001077 |
Entity Name | Serene Care Holdings Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396350484 PECOS PAC ID: 5395165468 Enrollment ID: O20210528001580 |
Mailing Address | Practice Location Address |
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Derick Sonjong, PMHNP-BC 4507 Lyons Run Cir Apt T3, Owings Mills, MD 21117-6979 Ph: (571) 277-0779 | Derick Sonjong, PMHNP-BC 4507 Lyons Run Cir Apt T3, Owings Mills, MD 21117-6979 Ph: (571) 277-0779 |
Adedayo Temitope Omobo, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10999 Red Run Blvd Ste 205, Owings Mills, MD 21117 Phone: 240-462-7690 | |
Ernestina A. Ohene-agyakwah, CRNP-PMH BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 1355, Owings Mills, MD 21117 Phone: 443-413-9942 | |
Jennifer Pullmann, RN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Crossroads Dr, Suite 205, Owings Mills, MD 21117 Phone: 410-602-7792 Fax: 410-602-9889 | |
Amanda Harner, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Cir, Owings Mills, MD 21117 Phone: 443-352-4200 | |
Samson Olanrewaju Arigbamu, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10451 Mill Run Cir Ste 730, Owings Mills, MD 21117 Phone: 410-303-0057 Fax: 410-358-4938 | |
Nkiru Nonso-ekweozoh, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9419 Common Brook Rd Ste 208, Owings Mills, MD 21117 Phone: 410-864-0211 Fax: 410-618-4163 | |
Judith W. Ryan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10989 Red Run Blvd, Suite 208, Owings Mills, MD 21117 Phone: 410-654-8602 Fax: 410-654-8709 |