Shelly Mills Mohnkern, | |
20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | |
(240) 296-6371 | |
(301) 528-4315 |
Full Name | Shelly Mills Mohnkern |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 20410 Observation Dr Ste 108, Germantown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649743105 | NPI | - | NPPES |
327612SM1 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LGP8841 (Maryland) | Primary |
Entity Name | Vesta, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902015936 PECOS PAC ID: 3678568375 Enrollment ID: O20040420000584 |
Mailing Address | Practice Location Address |
---|---|
Shelly Mills Mohnkern, 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 Ph: (240) 296-6371 | Shelly Mills Mohnkern, 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 Ph: (240) 296-6371 |
Pamela Denise Murphy, PASTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 11480 Scenery Place, Germantown, MD 20876 Phone: 301-213-6423 Fax: 240-607-6677 | |
Ningqi Ann Yu Natterer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20701 Spinning Wheel Pl, Germantown, MD 20874 Phone: 202-709-7281 | |
Marianne Riley, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12955 Pinnacle Dr, 402, Germantown, MD 20874 Phone: 240-547-7636 | |
Mrs. Andrea R Garris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12774 Wisteria Drive, Suite 1001, Germantown, MD 20875 Phone: 240-200-4068 | |
Mrs. Sangeeta Mehra, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13238 Executive Park Ter, Germantown, MD 20874 Phone: 240-498-6051 | |
Arleen Anderson, LGPC Counselor Medicare: Medicare Enrolled Practice Location: 19707 Executive Park Cir, Germantown, MD 20874 Phone: 301-250-9965 Fax: 240-306-1104 | |
Emma Katherine Lebo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20410 Observation Dr Ste 108, Germantown, MD 20876 Phone: 240-296-5862 |