Titilayo Adenike Unegbu, | |
2021 Cross Church Way, Mitchellville, MD 20721-2398 | |
(410) 440-8763 | |
Not Available |
Full Name | Titilayo Adenike Unegbu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2021 Cross Church Way, Mitchellville, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285126912 | NPI | - | NPPES |
U-521-793-031-832 | Other | MD | DRIVER'S LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | MDR117409 (Maryland) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 2022091446 (Maryland) | Primary |
Entity Name | Roseu Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528335429 PECOS PAC ID: 9830363035 Enrollment ID: O20111128000811 |
Entity Name | Tlay Healthcare Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023652781 PECOS PAC ID: 6709251846 Enrollment ID: O20230404000321 |
Mailing Address | Practice Location Address |
---|---|
Titilayo Adenike Unegbu, 13106 Contee Manor Rd, Bowie, MD 20721-3299 Ph: (410) 440-8763 | Titilayo Adenike Unegbu, 2021 Cross Church Way, Mitchellville, MD 20721-2398 Ph: (410) 440-8763 |
Oluwatoyin Olawale, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Cross Church Way, Mitchellville, MD 20721 Phone: 301-335-4144 | |
Millicent Marie Edgar, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12138 Central Ave Ste 891, Mitchellville, MD 20721 Phone: 202-681-3533 | |
Mrs. Revia Michelle Veney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3800 Lottsford Vista Rd, Skilled Nursing Facility-, Mitchellville, MD 20721 Phone: 301-832-2095 |