| Ms Agnes Mukarugema, FNP-C | |
|
196 Thomas Johnson Dr Ste 135, Frederick, MD 21702-4518 | |
| (240) 477-0214 | |
| (301) 694-8524 |
| Full Name | Ms Agnes Mukarugema |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 196 Thomas Johnson Dr Ste 135, Frederick, 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 |
|---|---|---|---|
| 1740991405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R188328 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frederick Health Hospital | Frederick, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Praveen Bolarum Md Llc | 9638276199 | 5 |
| Meritus Medical Center Inc | 7113811795 | 749 |
| Amber Hill Physical Therapy Inc | 8527963917 | 331 |
| Praveen Bolarum Md Llc | 9638276199 | 5 |
| Entity Name | Praveen Bolarum Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568685287 PECOS PAC ID: 9638276199 Enrollment ID: O20101116000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Agnes Mukarugema, FNP-C 196 Thomas Johnson Dr Ste 135, Frederick, MD 21702-4518 Ph: (301) 694-6688 | Ms Agnes Mukarugema, FNP-C 196 Thomas Johnson Dr Ste 135, Frederick, MD 21702-4518 Ph: (240) 477-0214 |
Kent Elias Perttula, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-215-6310 Fax: 240-566-7754 | |
Cristelle Dipita, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Sunlight Ct, Frederick, MD 21702 Phone: 470-776-1894 | |
Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520 | |
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477 | |
Issa Tew Lo, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310 | |
Andrea Mae Vanessa Ward, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7100 Guilford Dr Ste 100, Frederick, MD 21704 Phone: 227-223-0002 | |
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477 |