J Richard Lilly Md Abfp Chtd - Medicare Primary Care in Hyattsville, MD

J Richard Lilly Md Abfp Chtd is a medicare enrolled primary clinic (General Practice) in Hyattsville, Maryland. The current practice location for J Richard Lilly Md Abfp Chtd is 5804 Baltimore Ave, Hyattsville, Maryland. For appointments, you can reach them via phone at (301) 927-7800. The mailing address for J Richard Lilly Md Abfp Chtd is 5804 Baltimore Ave, Hyattsville, Maryland and phone number is (301) 927-7800.

J Richard Lilly Md Abfp Chtd is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336135821. 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 (301) 927-7800.

Contact Information

J Richard Lilly Md Abfp Chtd
5804 Baltimore Ave
Hyattsville
MD 20781-1623
(301) 927-7800
(301) 927-0375

Map and Direction


Primary Care Clinic Profile

Full NameJ Richard Lilly Md Abfp Chtd
SpecialityGeneral Practice
Location5804 Baltimore Ave, Hyattsville, Maryland
Authorized Official Name and PositionJ Richard Lilly (OWNER)
Authorized Official Contact3017791014
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1336135821
Provider Enumeration Date09/21/2005
Last Update Date02/09/2010

Medicare PECOS Information:

Medicare PECOS PAC ID6103896386
Medicare Enrollment IDO20040727000281

Medical Identifiers

Medical identifiers for J Richard Lilly Md Abfp Chtd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336135821NPI-NPPES
015481400MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. J Richard Lilly Md Abfp Chtd acts as a billing entity for following providers:
Provider NameRosalee P Townsend
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598033367
PECOS PAC ID: 2860387685
Enrollment ID: I20040219000414
Provider NameYungran A Brinley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164561080
PECOS PAC ID: 1456372754
Enrollment ID: I20051214000758
Provider NameWennifer Wiggins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295814499
PECOS PAC ID: 2062434541
Enrollment ID: I20051227000533
Provider NameJohn Lilly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528051711
PECOS PAC ID: 0446257596
Enrollment ID: I20081016000084
Provider NameJay I Stern
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598952160
PECOS PAC ID: 0446318679
Enrollment ID: I20081016000510
Provider NameElizabeth Vebangsi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386893386
PECOS PAC ID: 9638236706
Enrollment ID: I20090318000189
Provider NameEduardo Flores
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821081449
PECOS PAC ID: 3375673411
Enrollment ID: I20100616000105
Provider NameChinma Njoku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710287495
PECOS PAC ID: 6709058480
Enrollment ID: I20111014000061
Provider NamePrudence Ashie Mancho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891063822
PECOS PAC ID: 7517124217
Enrollment ID: I20130604000110
Provider NameMohammed I Mehboob
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518921873
PECOS PAC ID: 9638162019
Enrollment ID: I20140212000091
Provider NameAudrey B Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487865168
PECOS PAC ID: 3971893710
Enrollment ID: I20160607000175
Provider NameLilieth Occenad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144628538
PECOS PAC ID: 4688999717
Enrollment ID: I20170605002688
Provider NameBrigid A Prosser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760899637
PECOS PAC ID: 8921379934
Enrollment ID: I20170810000105
Provider NameAnita David
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730643610
PECOS PAC ID: 9830437615
Enrollment ID: I20190221000911
Provider NameLeah Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841706652
PECOS PAC ID: 7810236866
Enrollment ID: I20190308001405
Provider NameGrace Efunbajo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942827258
PECOS PAC ID: 4486060498
Enrollment ID: I20210316002609
Provider NameTemitope O Ajayi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538775515
PECOS PAC ID: 8325456544
Enrollment ID: I20210510001294

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.