| Hb Medical & Wellness Speciality Services, Llc | |
|
2391 Tacoma Pl Waldorf MD 20603-3853 | |
| (202) 215-1928 | |
| Not Available |
| Full Name | Hb Medical & Wellness Speciality Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2391 Tacoma Pl, Waldorf, Maryland |
| Authorized Official Name and Position | Kanika Hampton Morowa Nabulungi Hampton (MEDICAL DIRECTOR/PHYSICIAN) |
| Authorized Official Contact | 2022151928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hb Medical & Wellness Speciality Services, Llc 2391 Tacoma Pl Waldorf MD 20603 Ph: (202) 215-1928 | Hb Medical & Wellness Speciality Services, Llc 2391 Tacoma Pl Waldorf MD 20603-3853 Ph: (202) 215-1928 |
| NPI Number | 1457641607 |
|---|---|
| Provider Enumeration Date | 04/08/2011 |
| Last Update Date | 04/08/2011 |
| Medicare PECOS PAC ID | 1254502131 |
|---|---|
| Medicare Enrollment ID | O20110926000700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457641607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kanika M Hampton Bipat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407911555 PECOS PAC ID: 6800986126 Enrollment ID: I20071226000146 |
| Provider Name | Shawnee Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952814204 PECOS PAC ID: 9234476730 Enrollment ID: I20190122002224 |
| Provider Name | Patricia Joele Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740787084 PECOS PAC ID: 9436409323 Enrollment ID: I20190308001003 |
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