Wubeshet Tesema, | |
14914 Saddle Creek Dr, Burtonsville, MD 20866-2208 | |
(202) 813-7160 | |
Not Available |
Full Name | Wubeshet Tesema |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 14914 Saddle Creek Dr, Burtonsville, 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 |
---|---|---|---|
1134760036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R219344 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cornerstone Montgomery Inc | 3971591751 | 21 |
Entity Name | Cornerstone Montgomery Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194725739 PECOS PAC ID: 3971591751 Enrollment ID: O20040501000320 |
Mailing Address | Practice Location Address |
---|---|
Wubeshet Tesema, 14914 Saddle Creek Dr, Burtonsville, MD 20866-2208 Ph: (202) 813-7160 | Wubeshet Tesema, 14914 Saddle Creek Dr, Burtonsville, MD 20866-2208 Ph: (202) 813-7160 |
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