| Saludicity Llc | |
|
12200 Annapolis Rd Ste 228 Glenn Dale MD 20769-9182 | |
| (301) 446-2513 | |
| (380) 390-5398 |
| Full Name | Saludicity Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12200 Annapolis Rd Ste 228, Glenn Dale, Maryland |
| Authorized Official Name and Position | Paul Newman (OWNER) |
| Authorized Official Contact | 2023615732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saludicity Llc 8609 Westwood Center Dr Ste 110 Tysons VA 22182-7525 Ph: (301) 446-2513 | Saludicity Llc 12200 Annapolis Rd Ste 228 Glenn Dale MD 20769-9182 Ph: (301) 446-2513 |
| NPI Number | 1780239970 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 09/17/2020 |
| Medicare PECOS PAC ID | 6507298833 |
|---|---|
| Medicare Enrollment ID | O20191107001075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780239970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole M Weidinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467642173 PECOS PAC ID: 4385897800 Enrollment ID: I20130114000167 |
| Provider Name | Rachel E Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588165724 PECOS PAC ID: 2466708433 Enrollment ID: I20180705000339 |
| Provider Name | Paul J Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013361054 PECOS PAC ID: 3870886807 Enrollment ID: I20191107001137 |
| Provider Name | Felicia Depina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184077034 PECOS PAC ID: 4789963794 Enrollment ID: I20211115000002 |
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