<unavail> in Owings Mills, MD - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Owings Mills, Maryland. The current practice location for is 28 Tollgate Rd, Owings Mills, Maryland. For appointments, you can reach them via phone at (832) 434-8900. The mailing address for is 5004 Honeygo Center Dr Ste 102, Perry Hall, Maryland and phone number is (832) 434-8900.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417601238. 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 (832) 434-8900.

Contact Information


	28 Tollgate Rd Owings Mills MD 21117-3348
	(832) 434-8900
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	28 Tollgate Rd, Owings Mills, Maryland
Authorized Official Name and Position	Grace Emasealu (CRNP-PMH, CRNP-ADULT)
Authorized Official Contact	8324348900
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5004 Honeygo Center Dr Ste 102 Perry Hall MD 21128-8964 Ph: (832) 434-8900	28 Tollgate Rd Owings Mills MD 21117-3348 Ph: (832) 434-8900

NPI Details:

NPI Number	1417601238
Provider Enumeration Date	02/10/2022
Last Update Date	03/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	7810382926
Medicare Enrollment ID	O20220325002237

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417601238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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. acts as a billing entity for following providers:

Provider Name	Grace D Emasealu
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1619279502 PECOS PAC ID: 6305005703 Enrollment ID: I20120305000155

Reviews and Comments

Clinic/Center in Owings Mills, MD

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- Medicare Primary Care in Owings Mills, MD