| Mericare Health And Wellness | |
|
1050 E 215th St Bronx NY 10469-1307 | |
| (646) 671-2807 | |
| Not Available |
| Full Name | Mericare Health And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 E 215th St, Bronx, New York |
| Authorized Official Name and Position | Eric Cho (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2027253281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mericare Health And Wellness 1800 H St Ne Washington DC 20002-4018 Ph: (646) 671-2807 | Mericare Health And Wellness 1050 E 215th St Bronx NY 10469-1307 Ph: (646) 671-2807 |
| NPI Number | 1407625635 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 7810428901 |
|---|---|
| Medicare Enrollment ID | O20240930003396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407625635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Eric Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669725073 PECOS PAC ID: 8628309325 Enrollment ID: I20210105000012 |
| Provider Name | Mary Ogundare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225723638 PECOS PAC ID: 1153789797 Enrollment ID: I20241122000190 |
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