Adfinitas Health At Encompass Rehab Llc | |
17351 Melford Blvd Bowie MD 20715-4457 | |
(240) 548-1300 | |
(240) 548-1695 |
Full Name | Adfinitas Health At Encompass Rehab Llc |
---|---|
Speciality | Internal Medicine |
Location | 17351 Melford Blvd, Bowie, Maryland |
Authorized Official Name and Position | Timothy Delbrugge (AO) |
Authorized Official Contact | 3016938707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Adfinitas Health At Encompass Rehab Llc Po Box 69231 Baltimore MD 21264-9231 Ph: (443) 949-0814 | Adfinitas Health At Encompass Rehab Llc 17351 Melford Blvd Bowie MD 20715-4457 Ph: (240) 548-1300 |
NPI Number | 1568152932 |
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Provider Enumeration Date | 05/10/2023 |
Last Update Date | 05/10/2023 |
Medicare PECOS PAC ID | 6103283379 |
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Medicare Enrollment ID | O20230602000161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568152932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ellen R Mcinerney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235176157 PECOS PAC ID: 8527951144 Enrollment ID: I20040205001267 |
Provider Name | Amare Abebe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629109970 PECOS PAC ID: 3678606100 Enrollment ID: I20100804000064 |
Provider Name | Mulugeta Gebreegzi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366510778 PECOS PAC ID: 3678767001 Enrollment ID: I20101029001131 |
Provider Name | Natasha L Loving |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053698407 PECOS PAC ID: 4688840580 Enrollment ID: I20111227000208 |
Provider Name | Carrie A Dana-evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548536675 PECOS PAC ID: 4183887540 Enrollment ID: I20120531000378 |
Provider Name | Yvonne Etenyi Fomengia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215286810 PECOS PAC ID: 0840449872 Enrollment ID: I20121005000452 |
Provider Name | Nycole Hollington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558460287 PECOS PAC ID: 9638178296 Enrollment ID: I20121212000128 |
Provider Name | Karen Ann Cousins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912921453 PECOS PAC ID: 1456381474 Enrollment ID: I20130130000377 |
Provider Name | Melissa Barksdale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174927461 PECOS PAC ID: 5890018105 Enrollment ID: I20141219000718 |
Provider Name | Grace D Emasealu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619279502 PECOS PAC ID: 6305005703 Enrollment ID: I20160907001804 |
Provider Name | Wajahath Mohsini |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1467637751 PECOS PAC ID: 5698834455 Enrollment ID: I20170310001510 |
Provider Name | Funmilayo Oluwole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780115345 PECOS PAC ID: 1759650468 Enrollment ID: I20170711002973 |
Provider Name | Melissa Victoria Deitzel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346390127 PECOS PAC ID: 6406089796 Enrollment ID: I20171016002328 |
Provider Name | Jennifer Mays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942209069 PECOS PAC ID: 5890741532 Enrollment ID: I20190625000883 |
Provider Name | Soukeye Niang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881159093 PECOS PAC ID: 6406287358 Enrollment ID: I20200511001063 |
Provider Name | Reshata Mills |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1104240274 PECOS PAC ID: 4284853557 Enrollment ID: I20200722000616 |
Provider Name | Diana Passwaters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770631996 PECOS PAC ID: 8921226747 Enrollment ID: I20210818002836 |
Provider Name | Solange Bih |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669736237 PECOS PAC ID: 2365832417 Enrollment ID: I20211203000007 |
Provider Name | Holly Nilsson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295408581 PECOS PAC ID: 8628475670 Enrollment ID: I20220308000994 |
Provider Name | Melissa Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750730222 PECOS PAC ID: 7618263021 Enrollment ID: I20220520000131 |
Provider Name | Mary Brennan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952468670 PECOS PAC ID: 8921901778 Enrollment ID: I20230109000094 |
Provider Name | Jacqueline Ryan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851360192 PECOS PAC ID: 8224222039 Enrollment ID: I20230907002367 |
Provider Name | Sabrina Ngong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851854244 PECOS PAC ID: 7012241854 Enrollment ID: I20240318001479 |
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