| Ilevba Uwaila Osarenkhoe, MD | |
| 7503 Surratts Rd, Clinton, MD 20735-3358 | |
| (301) 868-8000 | |
| Not Available | 
| Full Name | Ilevba Uwaila Osarenkhoe | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 7503 Surratts Rd, Clinton, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992978910 | NPI | - | NPPES | 
| 110097583A | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 255678 (Massachusetts) | Secondary | 
| 208000000X | Pediatrics | D0067100 (Maryland) | Primary | 
| Entity Name | Mgmc Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031118000305 | 
| Entity Name | Mdics At Calvert Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033404207 PECOS PAC ID: 6406017425 Enrollment ID: O20120418000151 | 
| Entity Name | Mdics At Civista Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1225323496 PECOS PAC ID: 8325200793 Enrollment ID: O20120501000281 | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191003001442 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ilevba Uwaila Osarenkhoe, MD 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 868-8000 | Ilevba Uwaila Osarenkhoe, MD 7503 Surratts Rd, Clinton, MD 20735-3358 Ph: (301) 868-8000 | 
| Maria Milan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9015 Woodyard Rd Ste 111, Clinton, MD 20735 Phone: 301-599-0900 | |
| Dr. Josephine Vergara, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 301-870-7001 Fax: 301-870-6697 | |
| Renu Chandra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9131 Piscataway Rd, #710, Clinton, MD 20735 Phone: 301-868-8654 Fax: 301-856-7298 | |
| Patrick Jean-philippe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Surratts Rd, Clinton, MD 20735 Phone: 301-877-4288 Fax: 301-877-2695 | |
| Dr. Vigila Constance Harris, MD FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9135 Piscataway Rd, Suite 200, Clinton, MD 20735 Phone: 301-856-2210 Fax: 301-856-2212 | |
| Dr. Kermit O Simrel Jr.,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9015 Woodyard Rd, Suite 111, Clinton, MD 20735 Phone: 301-599-0900 Fax: 301-599-7828 | |
| Dr. Shawnese Gilpin Clark, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 7503 Surratts Rd, Clinton, MD 20735 Phone: 240-506-8967 |