Pecky Sundiata Pene, RN is a
Registered Nurse based in Berwyn Heights, Maryland. Pecky Sundiata Pene is licensed to practice in District Of Columbia (license number RN1040999) and his current practice location is
8915 58th Ave, Berwyn Heights, Maryland. He can be reached at his office (for appointments etc.) via phone at
(240) 764-9187.
NPI number for Pecky Sundiata Pene is 1053843268 and his current mailing address is 8915 58th Ave, Berwyn Heights, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053843268.
Provider's Profile
Full Name | Pecky Sundiata Pene |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 8915 58th Ave, Berwyn Heights, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053843268
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 03/28/2017
Medical Identifiers
Medical identifiers for Pecky Sundiata Pene such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053843268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN1040999 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pecky Sundiata Pene is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pecky Sundiata Pene, RN 8915 58th Ave, Berwyn Heights, MD 20740-4309 Ph: (240) 764-9187 | Pecky Sundiata Pene, RN 8915 58th Ave, Berwyn Heights, MD 20740-4309 Ph: (240) 764-9187 |
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