| Gilma Lizaida Rivas, | |
|
12520 Fairwood Pkwy, Bowie, MD 20720-6343 | |
| (301) 262-2300 | |
| (844) 888-1044 |
| Full Name | Gilma Lizaida Rivas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 12520 Fairwood Pkwy, Bowie, 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 |
|---|---|---|---|
| 1104472711 | NPI | - | NPPES |
| R194206 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R194206 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excelsior Healthcare Enterprises | 7719354109 | 2 |
| Entity Name | Familys Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619491735 PECOS PAC ID: 7012258429 Enrollment ID: O20190412000870 |
| Entity Name | Excelsior Healthcare Enterprises |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225781305 PECOS PAC ID: 7719354109 Enrollment ID: O20221027000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Gilma Lizaida Rivas, 12520 Fairwood Pkwy, Bowie, MD 20720-6343 Ph: (301) 262-2300 | Gilma Lizaida Rivas, 12520 Fairwood Pkwy, Bowie, MD 20720-6343 Ph: (301) 262-2300 |
Ms. Lawanis M Phillips, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14399 Gallant Fox Ln, Ste 222, Bowie, MD 20715 Phone: 301-262-7800 | |
Obiageli Ogbodo, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6911 Laurel Bowie Rd Ste 209, Bowie, MD 20715 Phone: 240-206-8345 | |
Olabisi Muyinat Oladipo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13206 Steeplechase Dr, Bowie, MD 20715 Phone: 240-413-9883 | |
Dr. Rashaan Lamont Ballard, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15459 Annapolis Rd, Bowie, MD 20715 Phone: 240-544-0676 | |
Marie Binta Kanu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10201 Tulip Tree Dr, Bowie, MD 20721 Phone: 240-460-5287 | |
Mrs. Melinda Toussaint, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 703-402-7605 | |
Mrs. Shavonne Marie Gumbs, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6111 High Bridge Rd, Bowie, MD 20720 Phone: 301-503-1490 Fax: 301-576-5197 |