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 | Inspiration Health Addiction Treatment Center, Llc |
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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 |