Peter Olusola Ige, | |
5411 Old Frederick Rd, Baltimore, MD 21229-2195 | |
(410) 762-8945 | |
Not Available |
Full Name | Peter Olusola Ige |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 43 Years |
Location | 5411 Old Frederick Rd, Baltimore, 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 |
---|---|---|---|
1164060943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R142898 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Frederick Health Hospital | Frederick, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harmony Counceling Center Inc | 3678829363 | 5 |
Frederick County Health Department | 4183720956 | 5 |
Entity Name | Mosaic Community Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
Entity Name | Frederick County Health Department |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083603914 PECOS PAC ID: 4183720956 Enrollment ID: O20100330000213 |
Entity Name | Harmony Counceling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861981276 PECOS PAC ID: 3678829363 Enrollment ID: O20180711001213 |
Mailing Address | Practice Location Address |
---|---|
Peter Olusola Ige, 12 Rozina Ct, Owings Mills, MD 21117-1318 Ph: (410) 446-1294 | Peter Olusola Ige, 5411 Old Frederick Rd, Baltimore, MD 21229-2195 Ph: (410) 762-8945 |
Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365 | |
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063 | |
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192 | |
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211 | |
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168 | |
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470 | |
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000 |