<unavail> in Bladensburg, MD - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Bladensburg, Maryland. The current practice location for is 5632 Annapolis Rd Ste 11, Bladensburg, Maryland. For appointments, you can reach them via phone at (240) 486-7097. The mailing address for is 5632 Annapolis Rd Ste 11, Bladensburg, Maryland and phone number is (240) 486-7097.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255916144. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (240) 486-7097.

Contact Information


	5632 Annapolis Rd Ste 11 Bladensburg MD 20710-2213
	(240) 486-7097
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	5632 Annapolis Rd Ste 11, Bladensburg, Maryland
Authorized Official Name and Position	Khudsiatu Tucker (NP)
Authorized Official Contact	2404867097
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5632 Annapolis Rd Ste 11 Bladensburg MD 20710-2213 Ph: (240) 486-7097	5632 Annapolis Rd Ste 11 Bladensburg MD 20710-2213 Ph: (240) 486-7097

NPI Details:

NPI Number	1255916144
Provider Enumeration Date	03/12/2021
Last Update Date	05/04/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4981013265
Medicare Enrollment ID	O20210518001055

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255916144	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Khudsiatu Tucker
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1831707488 PECOS PAC ID: 4587074455 Enrollment ID: I20201112001805

Reviews and Comments

Clinic/Center in Bladensburg, MD

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200 57th Ave, Bladensburg, MD 20710 Phone: 240-696-3356 Fax: 301-883-7890
Parmjit S Aujla Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 Annapolis Rd, Ste 13, Bladensburg, MD 20710 Phone: 301-699-8333 Fax: 301-699-9344
Mynp Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5802 Annapolis Rd, Bladensburg, MD 20710 Phone: 804-937-3219
Jr Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 Annapolis Rd Ste 8, Bladensburg, MD 20710 Phone: 240-413-6485
Vicken Poochikian Md P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5632 Annapolis Rd, Suite 3, Bladensburg, MD 20710 Phone: 301-779-7607 Fax: 301-927-0335

- Medicare Primary Care in Bladensburg, MD