Healing Vessel Medical Associates Llc | |
14903 Dennington Dr Bowie MD 20721-3277 | |
(301) 335-3941 | |
Not Available |
Full Name | Healing Vessel Medical Associates Llc |
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Speciality | Family Medicine |
Location | 14903 Dennington Dr, Bowie, Maryland |
Authorized Official Name and Position | Evelyn Omoregbee (MANAGING DIRECTOR) |
Authorized Official Contact | 3013353941 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healing Vessel Medical Associates Llc 14903 Dennington Dr Bowie MD 20721-3277 Ph: (301) 335-3941 | Healing Vessel Medical Associates Llc 14903 Dennington Dr Bowie MD 20721-3277 Ph: (301) 335-3941 |
NPI Number | 1770085029 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 05/07/2018 |
Medicare PECOS PAC ID | 2860755600 |
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Medicare Enrollment ID | O20180410000343 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770085029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Evelyn A Omoregbee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659701522 PECOS PAC ID: 3274763917 Enrollment ID: I20140304001560 |
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