| Primecare Medicine Pa | |
|
9801 Georgia Ave Suite 224 Silver Spring MD 20902-5276 | |
| (301) 593-9800 | |
| (301) 593-1061 |
| Full Name | Primecare Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9801 Georgia Ave, Silver Spring, Maryland |
| Authorized Official Name and Position | Anuradha A Arun (OWNER) |
| Authorized Official Contact | 3015939800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Medicine Pa Po Box 1708 Silver Spring MD 20915-1708 Ph: (301) 593-9800 | Primecare Medicine Pa 9801 Georgia Ave Suite 224 Silver Spring MD 20902-5276 Ph: (301) 593-9800 |
| NPI Number | 1245327881 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 02/02/2015 |
| Medicare PECOS PAC ID | 5294715090 |
|---|---|
| Medicare Enrollment ID | O20040722000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245327881 | NPI | - | NPPES |
| 699207200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0057630 (Maryland) | Primary |
| Provider Name | Anuradha Arun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003997479 PECOS PAC ID: 7416928973 Enrollment ID: I20040805001504 |
| Provider Name | Sharon K Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487904702 PECOS PAC ID: 3173840089 Enrollment ID: I20150401002420 |
| Provider Name | Jihyun Do |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346886850 PECOS PAC ID: 0042649378 Enrollment ID: I20200407002162 |
| Provider Name | Britney Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952993511 PECOS PAC ID: 7810387446 Enrollment ID: I20211214000559 |
| Provider Name | Nounguim Virginia Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497420129 PECOS PAC ID: 1052703303 Enrollment ID: I20220118000723 |
| Provider Name | Tammy L Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720109846 PECOS PAC ID: 1052551017 Enrollment ID: I20220614002692 |
| Provider Name | Hibsteab Lemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790434843 PECOS PAC ID: 3072995182 Enrollment ID: I20220805003106 |
| Provider Name | Marissa Ashley Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154046738 PECOS PAC ID: 7012389992 Enrollment ID: I20230203000171 |
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