| Accenture Healthcare Services | |
|
516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 | |
| (240) 579-7115 | |
| Not Available |
| Full Name | Accenture Healthcare Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 516 N Rolling Rd Ste 305, Catonsville, Maryland |
| Authorized Official Name and Position | Jerome Obiagba (FOUNDER/PRESIDENT) |
| Authorized Official Contact | 2027250208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accenture Healthcare Services 516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 Ph: (240) 579-7115 | Accenture Healthcare Services 516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 Ph: (240) 579-7115 |
| NPI Number | 1043954787 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 10/27/2022 |
| Certification Date | 10/27/2022 |
| Medicare PECOS PAC ID | 7315315785 |
|---|---|
| Medicare Enrollment ID | O20221116002732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043954787 | NPI | - | NPPES |
| Provider Name | Jerome K Obiagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558012427 PECOS PAC ID: 1850776329 Enrollment ID: I20220920000887 |
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