| Pomelo Pc | |
|
4701 Sangamore Rd Ste N100 Bethesda MD 20816-2558 | |
| (914) 919-9200 | |
| Not Available |
| Full Name | Pomelo Pc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4701 Sangamore Rd Ste N100, Bethesda, Maryland |
| Authorized Official Name and Position | Isabelle Von Kohorn (PRESIDENT) |
| Authorized Official Contact | 2035359982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pomelo Pc 4701 Sangamore Rd Ste N100 Bethesda MD 20816-2558 Ph: (914) 919-9200 | Pomelo Pc 4701 Sangamore Rd Ste N100 Bethesda MD 20816-2558 Ph: (914) 919-9200 |
| NPI Number | 1538827324 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 7618494501 |
|---|---|
| Medicare Enrollment ID | O20250505001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538827324 | NPI | - | NPPES |
| Provider Name | Galit Viviana Rudow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528366333 PECOS PAC ID: 4789853144 Enrollment ID: I20110802000108 |
| Provider Name | Erica Javes Eggebrecht |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346891884 PECOS PAC ID: 8224465448 Enrollment ID: I20200228001559 |
| Provider Name | Kamesha Fontenette |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457028615 PECOS PAC ID: 5698143162 Enrollment ID: I20221115002070 |
| Provider Name | Isabelle Von Kohorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063438927 PECOS PAC ID: 8820092513 Enrollment ID: I20250505001590 |
| Provider Name | Ilana Kresch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598169989 PECOS PAC ID: 0446530182 Enrollment ID: I20250520000162 |
| Provider Name | Monica Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760026561 PECOS PAC ID: 8527492511 Enrollment ID: I20250604003909 |
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