| Mary Ginikanwa Obiyo, | |
|
219 S Washington St, Easton, MD 21601-2913 | |
| (701) 876-9227 | |
| Not Available |
| Full Name | Mary Ginikanwa Obiyo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 219 S Washington St, Easton, 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 |
|---|---|---|---|
| 1396457537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R264224 (Maryland) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R47033 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Woodmont Center | Fredericksburg, VA | Nursing home |
| Valley Center | South charleston, WV | Nursing home |
| Care Haven Center | Martinsburg, WV | Nursing home |
| Doctors Community Rehabilitation And Patient Care | Lanham, MD | Nursing home |
| Crestwood Center | Milford, NH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dr Rebman Medical Pa | 3678087400 | 84 |
| Ivy Medical Group Pllc | 4981097797 | 122 |
| Daniel Funsch Jr, M.d., P.c. | 1951801836 | 110 |
| Ivy Medical Group Pllc | 4981097797 | 122 |
| Daniel Funsch Jr, M.d., P.c. | 1951801836 | 110 |
| Dr Rebman Medical Pa | 3678087400 | 84 |
| Dr Rebman Medical Pa | 3678087400 | 84 |
| Ivy Medical Group Pllc | 4981097797 | 122 |
| Ivy Medical Group Pllc | 4981097797 | 122 |
| Ivy Medical Group Pllc | 4981097797 | 122 |
| Ivy Medical Group Pllc | 4981097797 | 122 |
| Entity Name | Ivy Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250205003048 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ginikanwa Obiyo, 9304 Bay Leaf Ct, Upper Marlboro, MD 20772-3298 Ph: (701) 876-9227 | Mary Ginikanwa Obiyo, 219 S Washington St, Easton, MD 21601-2913 Ph: (701) 876-9227 |
Messanvi M Gozo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Dutchmans Ln, Easton, MD 21601 Phone: 410-548-2343 Fax: 844-332-3891 | |
Rosemary Daddona, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8579 Commerce Dr Ste 106, Easton, MD 21601 Phone: 410-819-0404 | |
Mrs. Lisa Marie Roser, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 511 Idlewild Ave, Easton, MD 21601 Phone: 410-822-6005 Fax: 410-822-9253 | |
Danyell Bishop Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8707 Commerce Dr Ste E, Easton, MD 21601 Phone: 410-855-4664 Fax: 855-461-3481 | |
Anna Marie Chamberlain, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8579 Commerce Dr Ste 104, Easton, MD 21601 Phone: 410-822-9133 Fax: 410-822-9513 | |
Susan Delean-botkin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8579 Commerce Dr, Suite 106, Easton, MD 21601 Phone: 410-819-0404 Fax: 410-819-0751 | |
Lisette Vazquez, NP, RNFA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8837 Roundhouse Cir, Easton, MD 21601 Phone: 443-481-3201 Fax: 443-481-6515 |