| Cadia Wellness Maryland | |
|
4922 Lasalle Rd Hyattsville MD 20782-3302 | |
| (301) 864-2333 | |
| Not Available |
| Full Name | Cadia Wellness Maryland |
|---|---|
| Speciality | Internal Medicine |
| Location | 4922 Lasalle Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Mark Anthony Yost (CEO) |
| Authorized Official Contact | 3018642333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cadia Wellness Maryland 4922b Lasalle Rd Hyattsville MD 20782-3302 Ph: () - | Cadia Wellness Maryland 4922 Lasalle Rd Hyattsville MD 20782-3302 Ph: (301) 864-2333 |
| NPI Number | 1497269336 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 02/01/2019 |
| Medicare PECOS PAC ID | 3678833019 |
|---|---|
| Medicare Enrollment ID | O20180205000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497269336 | NPI | - | NPPES |
| Provider Name | Robert P Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538365168 PECOS PAC ID: 8022289099 Enrollment ID: I20120730000164 |
| Provider Name | Stephanie Comer-concordia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508847286 PECOS PAC ID: 3375586696 Enrollment ID: I20120801000620 |
| Provider Name | Zoovia Aman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437321965 PECOS PAC ID: 9234302720 Enrollment ID: I20120829000777 |
| Provider Name | Robert Frasier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790013902 PECOS PAC ID: 5597910067 Enrollment ID: I20130307000213 |
| Provider Name | Stacy A Harris |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770690067 PECOS PAC ID: 6507853934 Enrollment ID: I20150219001507 |
| Provider Name | Melvi Tay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336581255 PECOS PAC ID: 0547403917 Enrollment ID: I20151006000197 |
| Provider Name | Fabian Andres Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912295445 PECOS PAC ID: 2769774959 Enrollment ID: I20160711000991 |
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