| Bta Medical Services Llc | |
|
1778 Grande View Ave Severn MD 21144-3333 | |
| (240) 501-8616 | |
| Not Available |
| Full Name | Bta Medical Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1778 Grande View Ave, Severn, Maryland |
| Authorized Official Name and Position | Abimbola Hillard (PROVIDER) |
| Authorized Official Contact | 2405018616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bta Medical Services Llc 1778 Grande View Ave Severn MD 21144-3333 Ph: (240) 501-8616 | Bta Medical Services Llc 1778 Grande View Ave Severn MD 21144-3333 Ph: (240) 501-8616 |
| NPI Number | 1104536283 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 8527424977 |
|---|---|
| Medicare Enrollment ID | O20230510001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104536283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Abimbola Hillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112983 PECOS PAC ID: 2163845249 Enrollment ID: I20210907001900 |
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