| Rose Godwin Support Services, Inc | |
|
11226 Cherry Hill Rd Apt 302 Beltsville MD 20705-3831 | |
| (301) 907-1700 | |
| (877) 714-8747 |
| Full Name | Rose Godwin Support Services, Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11226 Cherry Hill Rd Apt 302, Beltsville, Maryland |
| Authorized Official Name and Position | Ayo Okoro (PRESIDENT) |
| Authorized Official Contact | 3019071700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Godwin Support Services, Inc 11226 Cherry Hill Rd Apt 302 Beltsville MD 20705-3831 Ph: (301) 907-1700 | Rose Godwin Support Services, Inc 11226 Cherry Hill Rd Apt 302 Beltsville MD 20705-3831 Ph: (301) 907-1700 |
| NPI Number | 1053890111 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 9234488305 |
|---|---|
| Medicare Enrollment ID | O20180822002916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053890111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Ayo T Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972841856 PECOS PAC ID: 3274882220 Enrollment ID: I20180827000162 |
My Care Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Powder Mill Rd Ste 206, Beltsville, MD 20705 Phone: 301-806-0997 | |
Carla J. Lambert, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10764 Rhode Island Ave, Beltsville, MD 20705 Phone: 301-937-3323 Fax: 301-572-0058 | |
Mobile Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4303 Harbour Town Dr, Beltsville, MD 20705 Phone: 240-389-0227 Fax: 833-992-2121 | |
Medwell Beltsville Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4729 Sellman Rd, Beltsville, MD 20705 Phone: 301-595-2820 Fax: 301-595-2821 | |
Joselito D. Magday, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11701 Roby Ave, Beltsville, MD 20705 Phone: 301-937-5452 | |
Mahanaim Wellness Center & Iv Hydration Lounge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5020 Sunnyside Ave, Beltsville, MD 20705 Phone: 301-304-1751 |