Ennoble Hc Dmv Llc - Medicare Primary Care in Silver Spring, MD

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Ennoble Hc Dmv Llc is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Silver Spring, Maryland. The current practice location for Ennoble Hc Dmv Llc is 962 Wayne Ave Ste 250, Silver Spring, Maryland. For appointments, you can reach them via phone at (862) 812-9010. The mailing address for Ennoble Hc Dmv Llc is 39 V St Ne, Washington, District Of Columbia and phone number is (862) 812-9010.

Ennoble Hc Dmv Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104492115. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (862) 812-9010.

Contact Information

Ennoble Hc Dmv Llc
962 Wayne Ave Ste 250
Silver Spring
MD 20910-4433
(862) 812-9010
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameEnnoble Hc Dmv Llc
SpecialityFamily Medicine
Location962 Wayne Ave Ste 250, Silver Spring, Maryland
Authorized Official Name and PositionKush Das (MANAGER)
Authorized Official Contact3107212971
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ennoble Hc Dmv Llc
39 V St Ne
Washington
DC 20002-1329

Ph: (862) 812-9010		Ennoble Hc Dmv Llc
962 Wayne Ave Ste 250
Silver Spring
MD 20910-4433

Ph: (862) 812-9010

NPI Details:

NPI Number1104492115
Provider Enumeration Date06/01/2021
Last Update Date11/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9032517925
Medicare Enrollment IDO20211007000017

Medical Identifiers

Medical identifiers for Ennoble Hc Dmv Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104492115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ennoble Hc Dmv Llc acts as a billing entity for following providers:
Provider NameJohnnilyn Kutten
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417110933
PECOS PAC ID: 0749348332
Enrollment ID: I20081027000351
Provider NameChristina M Tafe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235398702
PECOS PAC ID: 7618022799
Enrollment ID: I20090826000555
Provider NameJames R Eskew
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1114915592
PECOS PAC ID: 6406988484
Enrollment ID: I20100712000235
Provider NameSummit Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942485321
PECOS PAC ID: 6406931674
Enrollment ID: I20110107000257
Provider NameRahel G Yirga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437121910
PECOS PAC ID: 2365536000
Enrollment ID: I20110404000080
Provider NameDanielle E Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831478890
PECOS PAC ID: 0941468979
Enrollment ID: I20120222000812
Provider NameAmanda Carmel Goldfarb
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1598926461
PECOS PAC ID: 7113172115
Enrollment ID: I20140716000032
Provider NameKristen E Dickert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477949758
PECOS PAC ID: 2062732241
Enrollment ID: I20150529001210
Provider NameMenbere Bahru
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528130218
PECOS PAC ID: 4789787284
Enrollment ID: I20150804003445
Provider NameHanna Tokon-yilma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508217498
PECOS PAC ID: 3274811765
Enrollment ID: I20161104000106
Provider NamePatricia Chang Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730505546
PECOS PAC ID: 5799903738
Enrollment ID: I20170227000200
Provider NameAdediwura Ajadi Jolaoso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801312053
PECOS PAC ID: 6305106022
Enrollment ID: I20180129000229
Provider NameAimee Punsalang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083268973
PECOS PAC ID: 2860721578
Enrollment ID: I20190905002053
Provider NameChinwe Edith Agbim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831616010
PECOS PAC ID: 5698104081
Enrollment ID: I20200407000098
Provider NameKatherine Archut
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548661283
PECOS PAC ID: 5698997286
Enrollment ID: I20200414002021
Provider NameCierra Jade Relyea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669083416
PECOS PAC ID: 3274952676
Enrollment ID: I20201005002037
Provider NameTouko Barthelemy Leuga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174132682
PECOS PAC ID: 0547678526
Enrollment ID: I20210517000469
Provider NameBernadine Ihediohanma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457942575
PECOS PAC ID: 9739588625
Enrollment ID: I20210526000519
Provider NameSjamer Chere
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659922854
PECOS PAC ID: 8921405085
Enrollment ID: I20210916002221
Provider NameMatia Lavonne Kilgore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730775958
PECOS PAC ID: 0547659146
Enrollment ID: I20211123000049
Provider NameChantal Nyefen Fokum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558026542
PECOS PAC ID: 8224429998
Enrollment ID: I20220107000170
Provider NamePhanta Jah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174296461
PECOS PAC ID: 1153714308
Enrollment ID: I20220210001108
Provider NameIvan H Racadag
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083062392
PECOS PAC ID: 0648568121
Enrollment ID: I20220606002978
Provider NameMesfin Wanna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548981004
PECOS PAC ID: 8729463161
Enrollment ID: I20220921000230
Provider NameGina Bryant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497472484
PECOS PAC ID: 6709257942
Enrollment ID: I20230126003220
Provider NameLori Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154891000
PECOS PAC ID: 0446599526
Enrollment ID: I20230216001105
Provider NameAshleigh Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881369536
PECOS PAC ID: 4587053152
Enrollment ID: I20230419000583
Provider NameChristina Pritchard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538851704
PECOS PAC ID: 4385002740
Enrollment ID: I20230617000052
Provider NameFese E Bokosah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801401328
PECOS PAC ID: 0941662803
Enrollment ID: I20230809004209
Provider NameNermeen Helmey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164209847
PECOS PAC ID: 6608220553
Enrollment ID: I20231002000319
Provider NameNashwa Abdalla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396524278
PECOS PAC ID: 9032567763
Enrollment ID: I20231119000055
Provider NameTheresa Juana Kamanda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750096962
PECOS PAC ID: 3072974492
Enrollment ID: I20231205000248
Provider NameJoshua Igbinosun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407533581
PECOS PAC ID: 3173972213
Enrollment ID: I20231214000374
Provider NameAyuk B Etang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013679273
PECOS PAC ID: 1557750536
Enrollment ID: I20240305002756
Provider NameNermala Vasu Diven
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497330344
PECOS PAC ID: 1355780750
Enrollment ID: I20240911003532
Provider NameRajdeep Parmar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518939008
PECOS PAC ID: 1456445196
Enrollment ID: I20241002004253
Provider NameSenait Mehari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437980240
PECOS PAC ID: 2264967579
Enrollment ID: I20241212002293

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.