| Tiffany Gladys Dirickson-ford, CRNP | |
|
6111 Highbridge Rd, Bowie, MD 20720 | |
| (301) 503-1490 | |
| (301) 576-5197 |
| Full Name | Tiffany Gladys Dirickson-ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 6111 Highbridge Rd, Bowie, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306472717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NP500016115 (District Of Columbia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F0819091 (Maryland) | Secondary |
| Entity Name | A Clean Start Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194295881 PECOS PAC ID: 9931508124 Enrollment ID: O20210520000015 |
| Entity Name | Revolution Medicine Health & Fitness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245887959 PECOS PAC ID: 7911339890 Enrollment ID: O20210805002118 |
| Entity Name | Our Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740937366 PECOS PAC ID: 6204210545 Enrollment ID: O20220906000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Gladys Dirickson-ford, CRNP 375 Red Clay Rd, Laurel, MD 20724-2443 Ph: (443) 690-4424 | Tiffany Gladys Dirickson-ford, CRNP 6111 Highbridge Rd, Bowie, MD 20720 Ph: (301) 503-1490 |
Ms. Lawanis M Phillips, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715 Phone: 301-262-7800 | |
Obiageli Ogbodo, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 Laurel Bowie Rd Ste 209, Bowie, MD 20715 Phone: 240-206-8345 | |
Olabisi Muyinat Oladipo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13206 Steeplechase Dr, Bowie, MD 20715 Phone: 240-413-9883 | |
Dr. Rashaan Lamont Ballard, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15459 Annapolis Rd, Bowie, MD 20715 Phone: 240-544-0676 | |
Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287 | |
Mrs. Melinda Toussaint, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 703-402-7605 | |
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197 |