Aditus Health | |
9375 Chesapeake St Ste 219 La Plata MD 20646-3654 | |
(240) 763-0843 | |
(877) 775-0210 |
Full Name | Aditus Health |
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Speciality | Clinic/Center |
Location | 9375 Chesapeake St Ste 219, La Plata, Maryland |
Authorized Official Name and Position | Ca'seem Tyler (CEO) |
Authorized Official Contact | 2407630843 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aditus Health 9375 Chesapeake St Ste 219 La Plata MD 20646-3654 Ph: (240) 763-0843 | Aditus Health 9375 Chesapeake St Ste 219 La Plata MD 20646-3654 Ph: (240) 763-0843 |
NPI Number | 1922699198 |
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Provider Enumeration Date | 02/01/2021 |
Last Update Date | 09/06/2023 |
Medicare PECOS PAC ID | 4587062708 |
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Medicare Enrollment ID | O20211001001508 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922699198 | NPI | - | NPPES |
Provider Name | Ca'seem Tyler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912507500 PECOS PAC ID: 2365856879 Enrollment ID: I20211001001655 |
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