Ophelia Medical Group Fl, P.a. | |
1644 Annapolis Rd Ste 4 Odenton MD 21113-1002 | |
(215) 585-2144 | |
(267) 780-7032 |
Full Name | Ophelia Medical Group Fl, P.a. |
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Speciality | Family Medicine |
Location | 1644 Annapolis Rd Ste 4, Odenton, Maryland |
Authorized Official Name and Position | Arthur R Williams (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 3478578015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ophelia Medical Group Fl, P.a. 228 Park Ave S Ste 15314 New York NY 10003-1502 Ph: (215) 585-2144 | Ophelia Medical Group Fl, P.a. 1644 Annapolis Rd Ste 4 Odenton MD 21113-1002 Ph: (215) 585-2144 |
NPI Number | 1588244750 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 06/07/2024 |
Certification Date | 06/07/2024 |
Medicare PECOS PAC ID | 7810398534 |
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Medicare Enrollment ID | O20210701000351 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588244750 | NPI | - | NPPES |
Provider Name | Lee Jay Radosh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174589477 PECOS PAC ID: 8921050527 Enrollment ID: I20050211000245 |
Provider Name | Darren Mcauley |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1013086917 PECOS PAC ID: 9133219561 Enrollment ID: I20071221000166 |
Provider Name | Ellen B Linde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174754774 PECOS PAC ID: 1658426176 Enrollment ID: I20090908000209 |
Provider Name | Lavenia Fain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649697202 PECOS PAC ID: 6103047824 Enrollment ID: I20141022001615 |
Provider Name | Meredith Mcclure |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841691094 PECOS PAC ID: 6103047311 Enrollment ID: I20160211000306 |
Provider Name | Rachel Rolison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467805002 PECOS PAC ID: 5799072948 Enrollment ID: I20161003000994 |
Provider Name | Susan Marie Tomaine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366812604 PECOS PAC ID: 4981913605 Enrollment ID: I20161005002729 |
Provider Name | M Jane D Alessandro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841747391 PECOS PAC ID: 6103105986 Enrollment ID: I20161118000526 |
Provider Name | Krysten Nicole Duliba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649726043 PECOS PAC ID: 2961782255 Enrollment ID: I20161202000144 |
Provider Name | Emily Jean Way |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639546260 PECOS PAC ID: 6507169232 Enrollment ID: I20170518001561 |
Provider Name | Kaci L Wall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467982876 PECOS PAC ID: 4082970108 Enrollment ID: I20171106002917 |
Provider Name | Mena Soliman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477060598 PECOS PAC ID: 3779845318 Enrollment ID: I20180320001772 |
Provider Name | Carla A Paredes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174078976 PECOS PAC ID: 1052699212 Enrollment ID: I20180502001129 |
Provider Name | Shoshana Aronowitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053705376 PECOS PAC ID: 9032406079 Enrollment ID: I20180516001643 |
Provider Name | Nicole Marie Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972068930 PECOS PAC ID: 8729311766 Enrollment ID: I20190606002414 |
Provider Name | Brittany Lynn Eilber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306490131 PECOS PAC ID: 4284966607 Enrollment ID: I20191104001933 |
Provider Name | Renee Alane Lucci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699385146 PECOS PAC ID: 5698186419 Enrollment ID: I20201201000474 |
Provider Name | Taylor Anne List |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053910711 PECOS PAC ID: 7810309853 Enrollment ID: I20201215002397 |
Provider Name | Matthew W Cichocki |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972035582 PECOS PAC ID: 1254606387 Enrollment ID: I20210616003555 |
Provider Name | Kayla Gatto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124690219 PECOS PAC ID: 7517364045 Enrollment ID: I20210924002137 |
Provider Name | Arielle Sarah Bivas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841607314 PECOS PAC ID: 8820390503 Enrollment ID: I20211014000109 |
Provider Name | Laura Elizabeth Coulson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679231138 PECOS PAC ID: 9133519937 Enrollment ID: I20211210000335 |
Provider Name | Sarah Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346885092 PECOS PAC ID: 6608269410 Enrollment ID: I20220131000508 |
Provider Name | Arthur Robinson Williams |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1063739985 PECOS PAC ID: 3072928480 Enrollment ID: I20220602001907 |
Provider Name | Adam Mariusz Bisaga |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1023135613 PECOS PAC ID: 4183025802 Enrollment ID: I20220628003682 |
Provider Name | Rhiannon L Bircher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386275576 PECOS PAC ID: 5698141893 Enrollment ID: I20221012003627 |
Provider Name | Alexandra Marie Mcclellan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962107128 PECOS PAC ID: 8325408750 Enrollment ID: I20230718000540 |
Provider Name | Meghan M Kohuth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447937651 PECOS PAC ID: 8224482229 Enrollment ID: I20230925003161 |
Provider Name | Chivon Monique Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497445431 PECOS PAC ID: 6002261070 Enrollment ID: I20231011000793 |
Provider Name | Christopher Abbas Mehdizadeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073035127 PECOS PAC ID: 2365717121 Enrollment ID: I20231118000503 |
Provider Name | Ashley Jeanne Mazei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568711901 PECOS PAC ID: 6103103650 Enrollment ID: I20231130000429 |
Provider Name | Courtney B Mccree |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619276672 PECOS PAC ID: 7810174034 Enrollment ID: I20240111002694 |
Provider Name | Alexis Natasha Seligman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912690025 PECOS PAC ID: 5890146773 Enrollment ID: I20240208002037 |
Provider Name | Jessica Gasque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598358608 PECOS PAC ID: 7810385705 Enrollment ID: I20240411004582 |
Provider Name | Dekozlymn Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134556061 PECOS PAC ID: 0446471031 Enrollment ID: I20240603000763 |
Provider Name | Erica Rubinos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235748963 PECOS PAC ID: 1355888496 Enrollment ID: I20240806004327 |
Provider Name | Daniel Montville |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952806093 PECOS PAC ID: 9830446756 Enrollment ID: I20240816001156 |
Provider Name | Aaron Wynn Rodas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003438870 PECOS PAC ID: 0840616322 Enrollment ID: I20240827004171 |
Provider Name | Julia Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265275101 PECOS PAC ID: 8921534553 Enrollment ID: I20241206000209 |
Provider Name | Shay Linn Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356967020 PECOS PAC ID: 6406274802 Enrollment ID: I20250102001636 |
Robert A. Pascal Youth And Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 Annapolis Rd, Odenton, MD 21113 Phone: 410-571-4500 Fax: 410-923-1329 | |
Ally Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2288 Blue Water Blvd Ste 310, Odenton, MD 21113 Phone: 240-342-2666 | |
The Care Connection, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 Annapolis Road, Suite 202, Odenton, MD 21113 Phone: 410-519-1209 Fax: 410-519-1208 | |
Transformation Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2288 Blue Water Blvd Ste 315&317, Odenton, MD 21113 Phone: 443-759-9592 | |
Chesapeake Children's Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8739 Bright Meadow Ct, Odenton, MD 21113 Phone: 410-353-0677 Fax: 410-874-7907 | |
Vesta, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Annapolis Rd Ste F, Odenton, MD 21113 Phone: 240-296-1370 | |
Psychological Assessment, Consultation, And Evaluation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Gregory Ct, Odenton, MD 21113 Phone: 443-698-8326 |