| Nell Juliet Bodani, PA-C | |
|
2522 Ruthsburg Rd, Centreville, MD 21617-1952 | |
| (410) 490-9240 | |
| Not Available |
| Full Name | Nell Juliet Bodani |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 2522 Ruthsburg Rd, Centreville, 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 |
|---|---|---|---|
| 1699089599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md St Joseph Medical Center | Towson, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland St Joseph Medical Group Llc | 4880846179 | 288 |
| Entity Name | University of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | University of Maryland St Joseph Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Nell Juliet Bodani, PA-C 2522 Ruthsburg Rd, Centreville, MD 21617-1952 Ph: Not Available | Nell Juliet Bodani, PA-C 2522 Ruthsburg Rd, Centreville, MD 21617-1952 Ph: (410) 490-9240 |
Olabisi L Emenanjo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2977 4h Park Rd # 125, Centreville, MD 21617 Phone: 410-989-9859 |