| Mrs Ntaobasi Patrick Udeh, AGACNP-BC | |
|
10679 Hillingdon Rd, Woodstock, MD 21163-1431 | |
| (240) 856-0529 | |
| Not Available |
| Full Name | Mrs Ntaobasi Patrick Udeh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 10679 Hillingdon Rd, Woodstock, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578990693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R229826 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post Acute Specialists Llc | 1951676568 | 107 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Ivy Medical Group Pllc | 4981097797 | 96 |
| Entity Name | Five Star Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083654479 PECOS PAC ID: 3779572862 Enrollment ID: O20040528000495 |
| Entity Name | Post Acute Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114441565 PECOS PAC ID: 1951676568 Enrollment ID: O20190103000013 |
| Entity Name | Ivy Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20250103000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ntaobasi Patrick Udeh, AGACNP-BC 10679 Hillingdon Rd, Woodstock, MD 21163-1431 Ph: (240) 856-0529 | Mrs Ntaobasi Patrick Udeh, AGACNP-BC 10679 Hillingdon Rd, Woodstock, MD 21163-1431 Ph: (240) 856-0529 |
Mrs. Mofoluke Sobowale, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1863 Mount Denali Dr, Woodstock, MD 21163 Phone: 443-854-8563 | |
Ms. Susan Ouellette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2124 Ramona Ln, Woodstock, MD 21163 Phone: 410-236-9951 |