| Bright Star Family Clinic Inc | |
|
7505 New Hampshire Ave Ste 308 Takoma Park MD 20912-6972 | |
| (240) 847-7165 | |
| (240) 641-8970 |
| Full Name | Bright Star Family Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7505 New Hampshire Ave Ste 308, Takoma Park, Maryland |
| Authorized Official Name and Position | Lovinna Onyejiaka (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2408865255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Star Family Clinic Inc 7206 25th Ave Adelphi MD 20783-2751 Ph: (240) 886-5255 | Bright Star Family Clinic Inc 7505 New Hampshire Ave Ste 308 Takoma Park MD 20912-6972 Ph: (240) 847-7165 |
| NPI Number | 1528762507 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4587019880 |
|---|---|
| Medicare Enrollment ID | O20231005003340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528762507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lovinna Onyejiaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383074 PECOS PAC ID: 9931554235 Enrollment ID: I20231005003385 |
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