Wellcare Medical Clinic Llc | |
1438 Defense Hwy Ste 102 Gambrills MD 21054-2021 | |
(443) 875-3766 | |
Not Available |
Full Name | Wellcare Medical Clinic Llc |
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Speciality | Clinic/Center |
Location | 1438 Defense Hwy Ste 102, Gambrills, Maryland |
Authorized Official Name and Position | Sadia Cheema (PROVIDER) |
Authorized Official Contact | 4438753766 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellcare Medical Clinic Llc 2524 Ayr Ct Crofton MD 21114-1682 Ph: (443) 875-3766 | Wellcare Medical Clinic Llc 1438 Defense Hwy Ste 102 Gambrills MD 21054-2021 Ph: (443) 875-3766 |
NPI Number | 1588316103 |
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Provider Enumeration Date | 01/25/2022 |
Last Update Date | 07/25/2022 |
Medicare PECOS PAC ID | 7315330461 |
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Medicare Enrollment ID | O20220214000157 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588316103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Sadia Cheema |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144873043 PECOS PAC ID: 5597094912 Enrollment ID: I20190911000292 |
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