| Ida Mabelle Konchou, HHA | |
|
6731 New Hampshire Ave Apt 409, Takoma Park, MD 20912-2801 | |
| (202) 545-0935 | |
| (202) 545-0934 |
| Full Name | Ida Mabelle Konchou |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 6731 New Hampshire Ave Apt 409, Takoma Park, 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 |
|---|---|---|---|
| 1134482078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R207705 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebridge Community Physicians Inc | 3678751468 | 175 |
| Entity Name | Lifebridge Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Ida Mabelle Konchou, HHA 6731 New Hampshire Ave Apt 409, Takoma Park, MD 20912-2801 Ph: (202) 545-0935 | Ida Mabelle Konchou, HHA 6731 New Hampshire Ave Apt 409, Takoma Park, MD 20912-2801 Ph: (202) 545-0935 |
Lovinna Onyejiaka, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7505 New Hampshire Ave Ste 308, Takoma Park, MD 20912 Phone: 240-281-3574 Fax: 240-641-8970 | |
Ms. Katia Garcia Reinert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7610 Carroll Ave, Suite 280, Takoma Park, MD 20912 Phone: 301-891-6100 Fax: 301-891-5834 | |
Mrs. Joanna Marie Holt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600 | |
Nneoma M Oguguo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7676 New Hampshire Ave Ste 420, Takoma Park, MD 20912 Phone: 240-552-0267 | |
Ms. Jannie Lee Doh-lao, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600 | |
Ima Sasu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600 |