Ijeoma Victoria Okonkwo, | |
6480 Old Waterloo Rd, Elkridge, MD 21075-6508 | |
(410) 799-0291 | |
Not Available |
Full Name | Ijeoma Victoria Okonkwo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 6480 Old Waterloo Rd, Elkridge, 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 |
---|---|---|---|
1023625381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R242735 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Maryland Star Choice Llc | 1153731765 | 4 |
Entity Name | Mnr Industries Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088 |
Entity Name | Medical Maryland Star Choice Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770190647 PECOS PAC ID: 1153731765 Enrollment ID: O20201111000857 |
Mailing Address | Practice Location Address |
---|---|
Ijeoma Victoria Okonkwo, 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 Ph: (410) 799-0291 | Ijeoma Victoria Okonkwo, 6480 Old Waterloo Rd, Elkridge, MD 21075-6508 Ph: (410) 799-0291 |
Mr. Mark M Kelley, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6514 Meadowridge Rd, Elkridge, MD 21075 Phone: 855-247-8474 | |
Mark Abbott, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6030 Marshalee Dr, #202, Elkridge, MD 21075 Phone: 202-656-6031 | |
Sridevi Praveen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6439 Sedgwick St, Elkridge, MD 21075 Phone: 301-275-1743 | |
Mrs. Sibree L Vickers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6675 Business Pkwy Ste F, Elkridge, MD 21075 Phone: 866-799-5886 | |
Mrs. Regina Clare Birch, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6095 Marshalee Dr, Elkridge, MD 21075 Phone: 443-790-1572 | |
Kelly Ann Gibson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Greenfield Rd, #908, Elkridge, MD 21075 Phone: 410-796-5917 |