Motunrayo Omoloye Adegorusi, | |
7800 House Of Corrections Rd, Jessup, MD 20794 | |
(410) 799-6100 | |
Not Available |
Full Name | Motunrayo Omoloye Adegorusi |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 7800 House Of Corrections Rd, Jessup, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568941797 | NPI | - | NPPES |
N92802 | Other | MD | CDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | R196811 (Maryland) | Primary |
Entity Name | Dinkum Prospect Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740059476 PECOS PAC ID: 9739520263 Enrollment ID: O20240514004152 |
Mailing Address | Practice Location Address |
---|---|
Motunrayo Omoloye Adegorusi, 11112 Prospect Hill Rd, Glenn Dale, MD 20769-9454 Ph: (301) 860-0458 | Motunrayo Omoloye Adegorusi, 7800 House Of Corrections Rd, Jessup, MD 20794 Ph: (410) 799-6100 |
Ms. Ama Bentuma Abban, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3000 | |
Maryann Sinnott Gibeily, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7943 Brock Bridge Rd, Jessup, MD 20794 Phone: 410-379-7870 | |
Victoria Kamara, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8641 Concord Dr, Jessup, MD 20794 Phone: 202-210-0502 | |
Maimuna N Olagoke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7943 Brock Bridge Rd, Jessup, MD 20794 Phone: 410-379-3800 | |
Sajana Koirala, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3196 | |
Marnette Valcin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7800 House Of Corrections Rd, Jessup, MD 20794 Phone: 410-799-6100 |