Taicare Diabetes And Wellness Clinic is a medicare enrolled "Nurse Practitioner - Family" provider in Greenbelt, Maryland. Their current practice location is
8751 Greenbelt Rd Ste 102, Greenbelt, Maryland. You can reach out to their office (for appointments etc.) via phone at
(301) 313-9013.
Taicare Diabetes And Wellness Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Taicare Diabetes And Wellness Clinic
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306457122.
Healthcare Provider's Profile
| Full Name | Taicare Diabetes And Wellness Clinic |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8751 Greenbelt Rd Ste 102, Greenbelt, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306457122
- Provider Enumeration Date: 08/14/2020
- Last Update Date: 05/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688082720
- Enrollment ID: O20210409001211
Medical Identifiers
Medical identifiers for Taicare Diabetes And Wellness Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306457122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Taicare Diabetes And Wellness Clinic acts as a billing entity for following providers:
| Provider Name | Kelli Metzger |
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| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
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| Provider Identifiers | NPI Number: 1891885992
PECOS PAC ID: 4082851563
Enrollment ID: I20130501000459 |
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| Provider Name | Florence Oladayo Awosika |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1922381987
PECOS PAC ID: 7315186491
Enrollment ID: I20130621000079 |
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| Provider Name | Sumati Patrick |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1972038156
PECOS PAC ID: 6002167335
Enrollment ID: I20240719000206 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taicare Diabetes And Wellness Clinic is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Taicare Diabetes And Wellness Clinic
8751 Greenbelt Rd Ste 102,
Greenbelt, MD 20770-2450
Ph: (301) 313-9013 | Taicare Diabetes And Wellness Clinic
8751 Greenbelt Rd Ste 102,
Greenbelt, MD 20770-2450
Ph: (301) 313-9013 |
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