| Mr Olusola Ewebiyi, APRN | |
|
6514 Meadowridge Rd, Elkridge, MD 21075-6115 | |
| (855) 247-8474 | |
| Not Available |
| Full Name | Mr Olusola Ewebiyi |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 6514 Meadowridge Rd, Elkridge, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811071608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP123676 (Texas) | Primary |
| Entity Name | Lthc Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194182543 PECOS PAC ID: 4385949254 Enrollment ID: O20160302000207 |
| Entity Name | Long Term Health Careline Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588378830 PECOS PAC ID: 2264882950 Enrollment ID: O20231220003925 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Olusola Ewebiyi, APRN 1500 S Columbus Blvd, Philadelphia, PA 19147-5510 Ph: (215) 339-4747 | Mr Olusola Ewebiyi, APRN 6514 Meadowridge Rd, Elkridge, MD 21075-6115 Ph: (855) 247-8474 |
Mr. Mark M Kelley, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6514 Meadowridge Rd, Elkridge, MD 21075 Phone: 855-247-8474 | |
Mark Abbott, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6030 Marshalee Dr, #202, Elkridge, MD 21075 Phone: 202-656-6031 | |
Sridevi Praveen, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6439 Sedgwick St, Elkridge, MD 21075 Phone: 301-275-1743 | |
Ijeoma Victoria Okonkwo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6480 Old Waterloo Rd, Elkridge, MD 21075 Phone: 410-799-0291 | |
Mrs. Sibree L Vickers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6675 Business Pkwy Ste F, Elkridge, MD 21075 Phone: 866-799-5886 | |
Mrs. Regina Clare Birch, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6095 Marshalee Dr, Elkridge, MD 21075 Phone: 443-790-1572 | |
Kelly Ann Gibson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6400 Greenfield Rd, #908, Elkridge, MD 21075 Phone: 410-796-5917 |