| Britevue Mental Health Services | |
|
606 Old Vintage Run Mount Airy MD 21771-4048 | |
| (301) 377-4918 | |
| Not Available |
| Full Name | Britevue Mental Health Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 606 Old Vintage Run, Mount Airy, Maryland |
| Authorized Official Name and Position | Roseline Eko (PMHNP-BC) |
| Authorized Official Contact | 3013774918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Britevue Mental Health Services 9722 Groffs Mill Dr Owings Mills MD 21117-6341 Ph: (301) 377-4918 | Britevue Mental Health Services 606 Old Vintage Run Mount Airy MD 21771-4048 Ph: (301) 377-4918 |
| NPI Number | 1083328579 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 05/23/2023 |
| Medicare PECOS PAC ID | 2365817939 |
|---|---|
| Medicare Enrollment ID | O20230412002967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083328579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Roseline Ekema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528720356 PECOS PAC ID: 3779977277 Enrollment ID: I20220228000288 |
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