Momoh Makieu, | |
13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 | |
(301) 477-2128 | |
Not Available |
Full Name | Momoh Makieu |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 13994 Baltimore Ave Ste 102, Laurel, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376198697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R198342 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psychogeriatric Services Llc | 6002719226 | 124 |
Green Ridge Behavioral Health, Llc | 3476685181 | 8 |
Psychogeriatric Services Llc | 6002719226 | 124 |
Entity Name | Psychogeriatric Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532 |
Mailing Address | Practice Location Address |
---|---|
Momoh Makieu, 9423 Horizon Run Rd, Gaithersburg, MD 20886-0493 Ph: (240) 688-3761 | Momoh Makieu, 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 Ph: (301) 477-2128 |
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 |