| Komal Patel, | |
|
2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | |
| (301) 677-8800 | |
| (301) 677-8013 |
| Full Name | Komal Patel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2480 Llewellyn Ave, Fort Meade, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295373744 | NPI | - | NPPES |
| R219909 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R219909 (Maryland) | Primary |
| 207Q00000X | Family Medicine | R219909 (Maryland) | Secondary |
| Entity Name | Minuteclinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20041216000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Komal Patel, 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 Ph: (301) 677-8800 | Komal Patel, 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 Ph: (301) 677-8800 |
Mabel Zandra Metzger, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Llewellyn Ave Ste 400, Fort Meade, MD 20755 Phone: 301-677-8800 |
Mrs. Jennifer Lee Feltwell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8737 Fax: 301-677-8980 |
Karen B. Cleaver, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8670 |
Dr. Dennis Martin Flynn, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-667-8895 |
Ella Maria Stallings, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8800 |
Chelsea Elaine-farquhar Zyburt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 202-344-7104 |
Mrs. Sarah Jeanne Graese, FNP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8800 |