| Khadijat Momoh, | |
|
6 Barone Ct, Providence, RI 02904-1286 | |
| (512) 363-0793 | |
| Not Available |
| Full Name | Khadijat Momoh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 6 Barone Ct, Providence, Rhode Island |
| 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 |
|---|---|---|---|
| 1841061819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN03370 (Rhode Island) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hdc Care Solutions Llc | 0345634770 | 190 |
| Value Based Long Term Care H Pc | 4587104641 | 145 |
| Entity Name | Medicine and Long Term Care Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073539227 PECOS PAC ID: 7012911399 Enrollment ID: O20060828000528 |
| Entity Name | Hdc Care Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033861349 PECOS PAC ID: 0345634770 Enrollment ID: O20220328001966 |
| Entity Name | Value Based Long Term Care H PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134951676 PECOS PAC ID: 4587104641 Enrollment ID: O20250618002350 |
| Entity Name | Healthdrive Medical Services Southeast LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437930146 PECOS PAC ID: 4284075722 Enrollment ID: O20250804001160 |
| Mailing Address | Practice Location Address |
|---|---|
| Khadijat Momoh, 6 Barone Ct, Providence, RI 02904-1286 Ph: Not Available | Khadijat Momoh, 6 Barone Ct, Providence, RI 02904-1286 Ph: (512) 363-0793 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 617-419-0482 |
Phina A Mayu, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 534 Angell Street, 2nd Floor, Providence, RI 02906 Phone: 401-384-7971 Fax: 401-340-1499 |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 |
Kristen Ann Chapian, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-793-5708 Fax: 401-793-5171 |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 |
Korrinne Ivey, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Broad St, Providence, RI 02903 Phone: 513-653-0904 |