| Khadeja Qubla Ibn Baidoo, CRNP | |
|
4843 Marsden Pl, Frederick, MD 21703-6822 | |
| (571) 275-6765 | |
| Not Available |
| Full Name | Khadeja Qubla Ibn Baidoo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 4843 Marsden Pl, Frederick, 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 |
|---|---|---|---|
| 1104467414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R214238 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R214238 (Maryland) | Primary |
| Entity Name | Opal Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477639862 PECOS PAC ID: 1658270301 Enrollment ID: O20040102000138 |
| Entity Name | Khadeja Family Practice, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255942231 PECOS PAC ID: 7315365129 Enrollment ID: O20200910002382 |
| Mailing Address | Practice Location Address |
|---|---|
| Khadeja Qubla Ibn Baidoo, CRNP 4843 Marsden Pl, Frederick, MD 21703-6822 Ph: (571) 275-6765 | Khadeja Qubla Ibn Baidoo, CRNP 4843 Marsden Pl, Frederick, MD 21703-6822 Ph: (571) 275-6765 |
Kent Elias Perttula, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-215-6310 Fax: 240-566-7754 | |
Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520 | |
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477 | |
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310 | |
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477 | |
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928 | |
Mrs. Judith Anne Stambaugh, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Baughmans Ln Ste 206, Frederick, MD 21702 Phone: 240-439-1251 Fax: 307-459-6733 |