| Dr Johanese Sandy, DNP, PMHNP-BC, FNP-C | |
|
1401 Mercantile Ln Ste 500-j, Largo, MD 20774-4301 | |
| (240) 260-3147 | |
| (240) 885-8733 |
| Full Name | Dr Johanese Sandy |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1401 Mercantile Ln Ste 500-j, Largo, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154819977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R183268 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R183268 (Maryland) | Primary |
| Entity Name | Wellness Source Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780031724 PECOS PAC ID: 2668751454 Enrollment ID: O20161118000825 |
| Entity Name | Comprehensive Healthcare & Wellness Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366112385 PECOS PAC ID: 2365837705 Enrollment ID: O20220321002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Johanese Sandy, DNP, PMHNP-BC, FNP-C 1401 Mercantile Ln Ste 500-j, Largo, MD 20774-4301 Ph: (240) 260-3147 | Dr Johanese Sandy, DNP, PMHNP-BC, FNP-C 1401 Mercantile Ln Ste 500-j, Largo, MD 20774-4301 Ph: (240) 260-3147 |
Mr. Raymond Aseh Ofe, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln Ste 200, Largo, MD 20774 Phone: 240-350-8841 | |
Mr. Tom Dennis Gates Ii, CRNP-PMH Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln Ste 198, Largo, MD 20774 Phone: 301-955-9812 Fax: 301-955-9813 | |
Chinyere Lois Otuya, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln Ste 100a, Largo, MD 20774 Phone: 240-906-2723 Fax: 703-454-0722 | |
Ms. Valerie May Stevens, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Ms. Frances Justine Caffie-wright, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 Mccormick Dr, Prince George's County Health Department, Largo, MD 20774 Phone: 301-883-7887 Fax: 301-883-7896 | |
Mrs. Chiquitta Marion Taylor, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 904-372-3943 Fax: 904-212-1618 |