| Hycenta Ndosoh Halle, CRNP | |
|
15005 Jerimiah Ln, Bowie, MD 20721-7224 | |
| (301) 801-0427 | |
| Not Available |
| Full Name | Hycenta Ndosoh Halle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 15005 Jerimiah Ln, 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 |
|---|---|---|---|
| 1225640907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R183731 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1921 |
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1921 |
| Entity Name | Med-ped Health Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336296730 PECOS PAC ID: 0941108237 Enrollment ID: O20031223000604 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1578638425 PECOS PAC ID: 3779495858 Enrollment ID: O20040805001280 |
| Entity Name | Minuteclinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20041216000704 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1073678637 PECOS PAC ID: 3779495858 Enrollment ID: O20100729000796 |
| Entity Name | Express Healthcare, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598994733 PECOS PAC ID: 2860660743 Enrollment ID: O20110720000243 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1366781700 PECOS PAC ID: 3779495858 Enrollment ID: O20130507000207 |
| Entity Name | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1497023188 PECOS PAC ID: 3779495858 Enrollment ID: O20131029000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Hycenta Ndosoh Halle, CRNP 15005 Jerimiah Ln, Bowie, MD 20721-7224 Ph: (301) 801-0427 | Hycenta Ndosoh Halle, CRNP 15005 Jerimiah Ln, Bowie, MD 20721-7224 Ph: (301) 801-0427 |
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