J Richard Lilly Md Abfp Chtd | |
5804 Baltimore Ave Hyattsville MD 20781-1623 | |
(301) 927-7800 | |
(301) 927-0375 |
Full Name | J Richard Lilly Md Abfp Chtd |
---|---|
Speciality | General Practice |
Location | 5804 Baltimore Ave, Hyattsville, Maryland |
Authorized Official Name and Position | J Richard Lilly (OWNER) |
Authorized Official Contact | 3017791014 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
J Richard Lilly Md Abfp Chtd 5804 Baltimore Ave Hyattsville MD 20781-1623 Ph: (301) 927-7800 | J Richard Lilly Md Abfp Chtd 5804 Baltimore Ave Hyattsville MD 20781-1623 Ph: (301) 927-7800 |
NPI Number | 1336135821 |
---|---|
Provider Enumeration Date | 09/21/2005 |
Last Update Date | 02/09/2010 |
Medicare PECOS PAC ID | 6103896386 |
---|---|
Medicare Enrollment ID | O20040727000281 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336135821 | NPI | - | NPPES |
015481400 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Rosalee P Townsend |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598033367 PECOS PAC ID: 2860387685 Enrollment ID: I20040219000414 |
Provider Name | Yungran A Brinley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164561080 PECOS PAC ID: 1456372754 Enrollment ID: I20051214000758 |
Provider Name | Wennifer Wiggins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295814499 PECOS PAC ID: 2062434541 Enrollment ID: I20051227000533 |
Provider Name | John Lilly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528051711 PECOS PAC ID: 0446257596 Enrollment ID: I20081016000084 |
Provider Name | Jay I Stern |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598952160 PECOS PAC ID: 0446318679 Enrollment ID: I20081016000510 |
Provider Name | Elizabeth Vebangsi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386893386 PECOS PAC ID: 9638236706 Enrollment ID: I20090318000189 |
Provider Name | Eduardo Flores |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821081449 PECOS PAC ID: 3375673411 Enrollment ID: I20100616000105 |
Provider Name | Chinma Njoku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710287495 PECOS PAC ID: 6709058480 Enrollment ID: I20111014000061 |
Provider Name | Prudence Ashie Mancho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891063822 PECOS PAC ID: 7517124217 Enrollment ID: I20130604000110 |
Provider Name | Mohammed I Mehboob |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518921873 PECOS PAC ID: 9638162019 Enrollment ID: I20140212000091 |
Provider Name | Audrey B Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487865168 PECOS PAC ID: 3971893710 Enrollment ID: I20160607000175 |
Provider Name | Lilieth Occenad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144628538 PECOS PAC ID: 4688999717 Enrollment ID: I20170605002688 |
Provider Name | Brigid A Prosser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760899637 PECOS PAC ID: 8921379934 Enrollment ID: I20170810000105 |
Provider Name | Anita David |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730643610 PECOS PAC ID: 9830437615 Enrollment ID: I20190221000911 |
Provider Name | Leah Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841706652 PECOS PAC ID: 7810236866 Enrollment ID: I20190308001405 |
Provider Name | Grace Efunbajo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942827258 PECOS PAC ID: 4486060498 Enrollment ID: I20210316002609 |
Provider Name | Temitope O Ajayi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538775515 PECOS PAC ID: 8325456544 Enrollment ID: I20210510001294 |
Covenant Healthcare System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3415 Hamilton St Ste 6, Hyattsville, MD 20782 Phone: 301-363-0707 Fax: 240-714-4733 | |
Sleep Diagnostic Institute Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Annapolis Rd, 207, Hyattsville, MD 20784 Phone: 301-429-0098 Fax: 301-429-0093 | |
Ulnacs Medical Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3331 Toledo Ter Ste 108, Hyattsville, MD 20782 Phone: 301-408-4111 Fax: 301-408-4600 | |
Community Health & Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6401 New Hampshire Ave, Hyattsville, MD 20783 Phone: 301-801-0292 Fax: 866-596-1084 | |
3rdroom Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Chesapeake Rd Ste 101, Hyattsville, MD 20784 Phone: 718-781-0585 Fax: 754-212-0473 | |
La Clinica Del Pueblo Hyattsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2970 Belcrest Center Dr, Suite 301, Hyattsville, MD 20782 Phone: 202-448-2845 Fax: 202-332-0085 | |
Vivek C. Vaid Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3311 Toledo Ter Ste B102, Hyattsville, MD 20782 Phone: 301-559-3500 Fax: 301-853-2362 |