| Chiso Ori Enwezor, PA-C | |
|
10005 Old Columbia Rd Ste P170, Columbia, MD 21046-1727 | |
| (410) 312-5280 | |
| Not Available |
| Full Name | Chiso Ori Enwezor |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 10005 Old Columbia Rd Ste P170, Columbia, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093344459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0008060 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comprehensive Primary Care And Associates Llc | 5092991984 | 167 |
| Capital Healthcare Pc | 3779723309 | 102 |
| Capital Healthcare Pc | 3779723309 | 102 |
| Entity Name | Capital Healthcare PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20170918001050 |
| Entity Name | Comprehensive Primary Care and Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831492586 PECOS PAC ID: 5092991984 Enrollment ID: O20250619002578 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiso Ori Enwezor, PA-C 10005 Old Columbia Rd Ste P170, Columbia, MD 21046-1727 Ph: Not Available | Chiso Ori Enwezor, PA-C 10005 Old Columbia Rd Ste P170, Columbia, MD 21046-1727 Ph: (410) 312-5280 |
Justin Richard Waite, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Cedar Ln, Columbia, MD 21044 Phone: 443-718-4067 |
Mrs. Toni Marie Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8000 Fax: 410-740-7511 |
Smital Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000 |
Melissa Tsang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9520 Berger Rd Ste 203, Columbia, MD 21046 Phone: 410-823-6408 |
Bradley Klement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Columbia, MD 21044 Phone: 410-955-5000 |
Zayda Villatoro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7226 Lee Deforest Dr Ste 206, Columbia, MD 21046 Phone: 410-656-2646 |
Mr. Dipal Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890 |