| Mr Allen Jose Tengco, CRNP | |
|
5 Garrett Ave, La Plata, MD 20646-5960 | |
| (301) 535-1715 | |
| Not Available |
| Full Name | Mr Allen Jose Tengco |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 5 Garrett Ave, La Plata, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437874831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R226614 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mdics At Civista Llc | 8325200793 | 25 |
| Entity Name | Mdics At Civista Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225323496 PECOS PAC ID: 8325200793 Enrollment ID: O20120501000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Allen Jose Tengco, CRNP 3874 Shiner Ct, Waldorf, MD 20603-7205 Ph: (301) 535-1715 | Mr Allen Jose Tengco, CRNP 5 Garrett Ave, La Plata, MD 20646-5960 Ph: (301) 535-1715 |
Mrs. Natasha Chinakesha Decaires-chester, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4287 | |
Adwoa Amponsah-poku, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 N La Plata Ct Ste 101, La Plata, MD 20646 Phone: 301-609-5044 | |
Ashley Iannone, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Centennial St Ste C, La Plata, MD 20646 Phone: 301-934-9111 | |
Gretchen Ann Machesney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-5439 Fax: 301-609-5344 | |
Elizabeth Anne Fifelski, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16 N La Plata Ct, La Plata, MD 20646 Phone: 732-850-2252 | |
Jessica Lorraine Milton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115a La Grange Ave # A, La Plata, MD 20646 Phone: 301-392-1935 | |
Dr. Paul Michael Patterson, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115a La Grange Ave, Suite 101, La Plata, MD 20646 Phone: 301-392-1935 Fax: 301-392-1936 |