| Nchedochukwu Idahosa, PA | |
|
1576 Merritt Blvd Ste 18, Dundalk, MD 21222-2132 | |
| (443) 693-7246 | |
| (443) 399-8309 |
| Full Name | Nchedochukwu Idahosa |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1576 Merritt Blvd Ste 18, Dundalk, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306352638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C06724 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstar Medical Group Ii Llc | 0547413825 | 3726 |
| Sinai Hospital Of Baltimore, Inc | 0941112346 | 373 |
| Entity Name | Sinai Hospital of Baltimore, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043235666 PECOS PAC ID: 0941112346 Enrollment ID: O20031104000353 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Nchedochukwu Idahosa, PA 2 Park Center Ct Ste 200, Owings Mills, MD 21117-4221 Ph: (443) 693-7246 | Nchedochukwu Idahosa, PA 1576 Merritt Blvd Ste 18, Dundalk, MD 21222-2132 Ph: (443) 693-7246 |
Mrs. Karen Moy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 207 Wise Ave, Dundalk, MD 21222 Phone: 410-284-1004 Fax: 410-284-2109 |
Cornel Rogers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3955 Old North Point Rd, Dundalk, MD 21222 Phone: 410-477-0744 |
Mr. Jason Robert Brody, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1576 Merritt Blvd Ste 8, Dundalk, MD 21222 Phone: 443-530-6533 |
Amy Augustine, Physician Assistant Medicare: Medicare Enrolled Practice Location: 207 Wise Ave, Dundalk, MD 21222 Phone: 410-284-1004 |
Tori Siler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1576 Merritt Blvd # 18, Dundalk, MD 21222 Phone: 855-527-7246 Fax: 866-229-5063 |
Fahim Nadir Kashif, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6730 Holabird Ave Ste 120, Dundalk, MD 21222 Phone: 443-376-5785 Fax: 443-376-5715 |
Cameron Pullen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1576 Merritt Blvd Ste 18, Dundalk, MD 21222 Phone: 855-527-7246 Fax: 866-229-5063 |