| Mr Atemkeng Fomengia, | |
|
724 Maiden Choice Ln Ste 304, Catonsville, MD 21228-0003 | |
| (202) 719-2530 | |
| Not Available |
| Full Name | Mr Atemkeng Fomengia |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 724 Maiden Choice Ln Ste 304, Catonsville, 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 |
|---|---|---|---|
| 1700332996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA031273 (District Of Columbia) | Primary |
| 363A00000X | Physician Assistant | PA031273 (District Of Columbia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jad Wound Care, Llc | 7719351501 | 4 |
| Maryland Medical First Pa | 1850329715 | 26 |
| Entity Name | Maryland Medical First PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013005016 PECOS PAC ID: 1850329715 Enrollment ID: O20050801001187 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191003001442 |
| Entity Name | Ennoble HC Dmv LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211209000400 |
| Entity Name | Jad Wound Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891440566 PECOS PAC ID: 7719351501 Enrollment ID: O20230317000819 |
| Entity Name | Woundworx LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437945326 PECOS PAC ID: 9537687546 Enrollment ID: O20250514003088 |
| Entity Name | Ac Woundcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003782137 PECOS PAC ID: 1850861824 Enrollment ID: O20260601000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Atemkeng Fomengia, 612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027 Ph: (718) 362-1411 | Mr Atemkeng Fomengia, 724 Maiden Choice Ln Ste 304, Catonsville, MD 21228-0003 Ph: (202) 719-2530 |
Joanna Marie Klosek Longo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 424 Montemar Ave, Catonsville, MD 21228 Phone: 443-690-5894 |
Carolina Radzyminska Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Frederick Rd, Catonsville, MD 21228 Phone: 410-644-1880 Fax: 410-646-3623 |
Mr. Uttam K Sarkar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6333 Baltimore National Pike, Catonsville, MD 21228 Phone: 443-514-1361 |
Kristin E Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Frederick Rd, Catonsville, MD 21228 Phone: 410-644-1880 Fax: 410-646-3623 |
Sean Anthony Mcgiveron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Frederick Rd, Catonsville, MD 21228 Phone: 410-644-1880 |
Mrs. Sandra Janine Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6333 Baltimore National Pike, Catonsville, MD 21228 Phone: 443-514-1361 Fax: 443-514-1362 |
Ms. Erin Ashley Washington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Frederick Rd, Catonsville, MD 21228 Phone: 410-644-1880 Fax: 410-646-3623 |