Ikon Health, Llc | |
26 Owens Glen Ct North Potomac MD 20878-2300 | |
(703) 731-0340 | |
Not Available |
Full Name | Ikon Health, Llc |
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Speciality | Nurse Practitioner |
Location | 26 Owens Glen Ct, North Potomac, Maryland |
Authorized Official Name and Position | Jessica Abrams (OWNER) |
Authorized Official Contact | 7037310340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ikon Health, Llc 26 Owens Glen Ct North Potomac MD 20878-2300 Ph: (703) 731-0340 | Ikon Health, Llc 26 Owens Glen Ct North Potomac MD 20878-2300 Ph: (703) 731-0340 |
NPI Number | 1275104143 |
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Provider Enumeration Date | 07/01/2021 |
Last Update Date | 11/17/2021 |
Medicare PECOS PAC ID | 2365846953 |
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Medicare Enrollment ID | O20210804000601 |
Identifier | Type | State | Issuer |
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1275104143 | NPI | - | NPPES |
Provider Name | Michele Tibbo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639421563 PECOS PAC ID: 0648490961 Enrollment ID: I20141008000492 |
Provider Name | Jessica Abrams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003277245 PECOS PAC ID: 0547551616 Enrollment ID: I20160621000078 |
Provider Name | Guillana Simon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497270110 PECOS PAC ID: 4486910197 Enrollment ID: I20171114001139 |
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