| Mariah Eze, | |
|
4222 Fortuna Center Plz Ste 607, Dumfries, VA 22025-1515 | |
| (703) 650-9202 | |
| (703) 650-9414 |
| Full Name | Mariah Eze |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4222 Fortuna Center Plz Ste 607, Dumfries, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780381194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024186469 (Virginia) | Primary |
| Entity Name | Insight Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801817150 PECOS PAC ID: 2860394178 Enrollment ID: O20040126000454 |
| Entity Name | Inspiration Health Addiction Treatment Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659977346 PECOS PAC ID: 1759773484 Enrollment ID: O20220110000558 |
| Entity Name | Providence Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265131148 PECOS PAC ID: 6406221746 Enrollment ID: O20230419000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Eze, 4222 Fortuna Center Plz Ste 607, Dumfries, VA 22025-1515 Ph: (703) 650-9202 | Mariah Eze, 4222 Fortuna Center Plz Ste 607, Dumfries, VA 22025-1515 Ph: (703) 650-9202 |
Angela Ann Fasanella, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17739 Main St Ste 110, Dumfries, VA 22026 Phone: 703-574-3415 Fax: 757-452-5768 | |
Yoko Akamine Elsasser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 Fax: 540-644-8805 | |
Mrs. Judy Lorraine Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 Fax: 540-374-1164 | |
Monica Nyamekye, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3932 Copper Mill Dr, Dumfries, VA 22025 Phone: 703-307-4653 | |
Zahida Noor, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3990 Fettler Park Dr, Dumfries, VA 22025 Phone: 571-499-5813 | |
Jinhee Park Kim, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7300 Fettler Park Drive, Dumfries, VA 22025 Phone: 703-447-7500 Fax: 703-441-7692 | |
Judy Billig Mcmanus, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5129 Olivia Way, Dumfries, VA 22025 Phone: 434-531-2598 |