| Mr Lewis Wilson, CRNP-PMH | |
| 
					8306 Larchwood St, New Carrollton, MD 20784-3409  | |
| (301) 741-2232 | |
| Not Available | 
| Full Name | Mr Lewis Wilson | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 8306 Larchwood St, New Carrollton, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134834393 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R169763 (Maryland) | Primary | 
| Entity Name | Holistic Telepsych & Med Mgt., Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811689599 PECOS PAC ID: 2466893086 Enrollment ID: O20240514003331  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Lewis Wilson, CRNP-PMH 8306 Larchwood St, New Carrollton, MD 20784-3409 Ph: (301) 741-2232  | Mr Lewis Wilson, CRNP-PMH 8306 Larchwood St, New Carrollton, MD 20784-3409 Ph: (301) 741-2232  | 
Mrs. I'necika Denise Daniels, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8201 Annapolis Rd, New Carrollton, MD 20784 Phone: 866-389-2727  | |
Jeane Salifu,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7737 Riverdale Rd, New Carrollton, MD 20784 Phone: 612-275-5722  | |
Ms. Linette Laverne Hawkins, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8201 Annapolis Rd, New Carrollton, MD 20784 Phone: 301-577-6222 Fax: 301-459-1826  | |
Mrs. Cynthia R Ray, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8201 Annapolis Rd, New Carrollton, MD 20784 Phone: 301-577-6222  | |
Kareen Mankah Fobuzie,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8606 Preston St, New Carrollton, MD 20784 Phone: 770-912-8608  |