| Maryland Primary Care And Wellness | |
|
14314 Old Marlboro Pike Upper Marlboro MD 20772-2840 | |
| (301) 627-3500 | |
| Not Available |
| Full Name | Maryland Primary Care And Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 14314 Old Marlboro Pike, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Albert Takem (OWNER) |
| Authorized Official Contact | 2404086286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Primary Care And Wellness 7100 Longwood Dr Bethesda MD 20817-2120 Ph: () - | Maryland Primary Care And Wellness 14314 Old Marlboro Pike Upper Marlboro MD 20772-2840 Ph: (301) 627-3500 |
| NPI Number | 1568075737 |
|---|---|
| Provider Enumeration Date | 08/27/2020 |
| Last Update Date | 03/05/2021 |
| Medicare PECOS PAC ID | 2769802685 |
|---|---|
| Medicare Enrollment ID | O20201015000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568075737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Albert Enow Takem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437414455 PECOS PAC ID: 0840447405 Enrollment ID: I20140903000808 |
| Provider Name | Shari Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720598006 PECOS PAC ID: 1557604063 Enrollment ID: I20210405002166 |
| Provider Name | Babatunde K Olujobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912678244 PECOS PAC ID: 3971992595 Enrollment ID: I20220126000859 |
| Provider Name | Darlene Teresa Barbour-shirley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770160111 PECOS PAC ID: 4981090503 Enrollment ID: I20220407002737 |
| Provider Name | Ugonma P Nwokorie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154091767 PECOS PAC ID: 1759768641 Enrollment ID: I20220516000118 |
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