| Mindoula Pc | |
|
8040 Georgia Ave Ste 170 Silver Spring MD 20910-4959 | |
| (888) 879-9786 | |
| Not Available |
| Full Name | Mindoula Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8040 Georgia Ave Ste 170, Silver Spring, Maryland |
| Authorized Official Name and Position | Melissa Burden (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8888799786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindoula Pc 8040 Georgia Ave Ste 170 Silver Spring MD 20910-4959 Ph: () - | Mindoula Pc 8040 Georgia Ave Ste 170 Silver Spring MD 20910-4959 Ph: (888) 879-9786 |
| NPI Number | 1538717723 |
|---|---|
| Provider Enumeration Date | 08/30/2019 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 8820492267 |
|---|---|
| Medicare Enrollment ID | O20211025002610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538717723 | NPI | - | NPPES |
| H877930 | Other | OH | OHMCR |
| Provider Name | Vanessa Power |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104063031 PECOS PAC ID: 2668872557 Enrollment ID: I20230125002285 |
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