Mr Lewis Wilson, CRNP-PMH | |
8306 Larchwood St, New Carrollton, MD 20784-3409 | |
(301) 741-2232 | |
Not Available |
Full Name | Mr Lewis Wilson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 8306 Larchwood St, New Carrollton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134834393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R169763 (Maryland) | Primary |
Entity Name | Holistic Telepsych & Med Mgt., Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811689599 PECOS PAC ID: 2466893086 Enrollment ID: O20240514003331 |
Mailing Address | Practice Location Address |
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Mr Lewis Wilson, CRNP-PMH 8306 Larchwood St, New Carrollton, MD 20784-3409 Ph: (301) 741-2232 | Mr Lewis Wilson, CRNP-PMH 8306 Larchwood St, New Carrollton, MD 20784-3409 Ph: (301) 741-2232 |
Mrs. I'necika Denise Daniels, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8201 Annapolis Rd, New Carrollton, MD 20784 Phone: 866-389-2727 | |
Jeane Salifu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7737 Riverdale Rd, New Carrollton, MD 20784 Phone: 612-275-5722 | |
Ms. Linette Laverne Hawkins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8201 Annapolis Rd, New Carrollton, MD 20784 Phone: 301-577-6222 Fax: 301-459-1826 | |
Mrs. Cynthia R Ray, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8201 Annapolis Rd, New Carrollton, MD 20784 Phone: 301-577-6222 | |
Kareen Mankah Fobuzie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8606 Preston St, New Carrollton, MD 20784 Phone: 770-912-8608 |