Maryland Wellness And Psychiatry Llc | |
550 Highland St Ste 310 Frederick MD 21701-5785 | |
(410) 936-3939 | |
Not Available |
Full Name | Maryland Wellness And Psychiatry Llc |
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Speciality | Nurse Practitioner |
Location | 550 Highland St Ste 310, Frederick, Maryland |
Authorized Official Name and Position | Lance Conda (BILLING MANAGER) |
Authorized Official Contact | 4109273510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maryland Wellness And Psychiatry Llc 915 Toll House Ave Ste 209 Frederick MD 21701-5901 Ph: (410) 888-0731 | Maryland Wellness And Psychiatry Llc 550 Highland St Ste 310 Frederick MD 21701-5785 Ph: (410) 936-3939 |
NPI Number | 1548920697 |
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Provider Enumeration Date | 12/29/2021 |
Last Update Date | 09/25/2024 |
Medicare PECOS PAC ID | 6709279532 |
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Medicare Enrollment ID | O20220131001313 |
Identifier | Type | State | Issuer |
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1548920697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Ritu Goel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255669222 PECOS PAC ID: 7517350341 Enrollment ID: I20220131001410 |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 |