| Motunrayo Omoloye Adegorusi, | |
|
9210 Corporate Blvd Ste 440, Rockville, MD 20850-6520 | |
| (240) 559-4838 | |
| (516) 518-0088 |
| Full Name | Motunrayo Omoloye Adegorusi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9210 Corporate Blvd Ste 440, Rockville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568941797 | NPI | - | NPPES |
| CN221201613 | Other | DC | CDS |
| N92802 | Other | MD | CDS |
| 096680503 | Medicaid | DC | |
| 307187100 | Medicaid | MD | |
| 30018367840001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN1021767 (District Of Columbia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Motunrayo Omoloye Adegorusi, 11112 Prospect Hill Rd, Glenn Dale, MD 20769-9454 Ph: (240) 432-7017 | Motunrayo Omoloye Adegorusi, 9210 Corporate Blvd Ste 440, Rockville, MD 20850-6520 Ph: (240) 559-4838 |
Janice Elaine Hodge, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15825 Shady Grove Rd, Ste 140, Rockville, MD 20850 Phone: 301-869-9776 Fax: 301-216-2592 | |
Lisa Kuester, RN CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Medical Center Dr, Rockville, MD 20850 Phone: 301-330-2921 | |
Heather Kae Case, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10110 Molecular Dr Ste 114, Rockville, MD 20850 Phone: 301-780-4745 Fax: 301-605-7550 | |
Mrs. Jane L Ovedovitz, R.N.,F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7955 Tuckerman Lane, Rockville, MD 20854 Phone: 646-242-7404 | |
Dr. Yong Nam Jeon, DNP, CRNP, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 W Edmonston Dr Ste 202, Rockville, MD 20852 Phone: 301-762-0788 | |
Christina Kowl, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 644 Azalea Dr, Rockville, MD 20850 Phone: 301-910-9171 | |
Morgan Gale, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11119 Rockville Pike Ste 204, Rockville, MD 20852 Phone: 301-875-2729 |