Mr Allen Jose Tengco, CRNP | |
5 Garrett Ave, La Plata, MD 20646-5960 | |
(301) 535-1715 | |
Not Available |
Full Name | Mr Allen Jose Tengco |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5 Garrett Ave, La Plata, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437874831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R226614 (Maryland) | Primary |
Entity Name | Mdics At Civista Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225323496 PECOS PAC ID: 8325200793 Enrollment ID: O20120501000281 |
Mailing Address | Practice Location Address |
---|---|
Mr Allen Jose Tengco, CRNP 3874 Shiner Ct, Waldorf, MD 20603-7205 Ph: (301) 535-1715 | Mr Allen Jose Tengco, CRNP 5 Garrett Ave, La Plata, MD 20646-5960 Ph: (301) 535-1715 |
Mrs. Natasha Chinakesha Decaires-chester, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4287 | |
Adwoa Amponsah-poku, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 N La Plata Ct Ste 101, La Plata, MD 20646 Phone: 301-609-5044 | |
Ashley Iannone, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Centennial St Ste C, La Plata, MD 20646 Phone: 301-934-9111 | |
Gretchen Ann Machesney, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000 | |
Jessica Lorraine Milton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115a La Grange Ave # A, La Plata, MD 20646 Phone: 301-392-1935 | |
Dr. Paul Michael Patterson, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115a La Grange Ave, Suite 101, La Plata, MD 20646 Phone: 301-392-1935 Fax: 301-392-1936 | |
Mrs. Bethany Weaver, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Howard St Ste 101, La Plata, MD 20646 Phone: 301-392-0400 |