| Meridian Medical Associates, Llc | |
|
5620 Saint Barnabas Rd Ste 360 Oxon Hill MD 20745 | |
| (240) 766-4552 | |
| (240) 766-4502 |
| Full Name | Meridian Medical Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5620 Saint Barnabas Rd Ste 360, Oxon Hill, Maryland |
| Authorized Official Name and Position | Darryl Antoine Hooker (PHYSICIAN ASSISTANT-CERTIFIED) |
| Authorized Official Contact | 2407664552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Medical Associates, Llc 5620 Saint Barnabas Rd Ste 360 Oxon Hill MD 20745-3628 Ph: (240) 766-4552 | Meridian Medical Associates, Llc 5620 Saint Barnabas Rd Ste 360 Oxon Hill MD 20745 Ph: (240) 766-4552 |
| NPI Number | 1104289297 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 8325335912 |
|---|---|
| Medicare Enrollment ID | O20160926001414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104289297 | NPI | - | NPPES |
| 577202800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Yolanda Anita Lewis-ragland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356304836 PECOS PAC ID: 1052489978 Enrollment ID: I20081006000372 |
| Provider Name | Benjamin Krepps |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972706448 PECOS PAC ID: 9931297090 Enrollment ID: I20171130003203 |
| Provider Name | Yasmin Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033322326 PECOS PAC ID: 1759277700 Enrollment ID: I20180517002289 |
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