| Peter Olusola Ige, | |
|
5411 Old Frederick Rd, Baltimore, MD 21229-2195 | |
| (410) 762-8945 | |
| Not Available |
| Full Name | Peter Olusola Ige |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 45 Years |
| Location | 5411 Old Frederick Rd, Baltimore, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164060943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R142898 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paraview Behavioral Health | 4284160383 | 2 |
| Entity Name | Mosaic Community Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265539142 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
| Entity Name | Harmony Counceling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861981276 PECOS PAC ID: 3678829363 Enrollment ID: O20180711001213 |
| Entity Name | Paraview Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730915711 PECOS PAC ID: 4284160383 Enrollment ID: O20241212003137 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Olusola Ige, 12 Rozina Ct, Owings Mills, MD 21117-1318 Ph: (410) 446-1294 | Peter Olusola Ige, 5411 Old Frederick Rd, Baltimore, MD 21229-2195 Ph: (410) 762-8945 |
Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365 |
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063 |
Theresa J Ruddy, C.P.N.P., CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-5260 |
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192 |
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211 |
Kamishia Thomas Parham, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Wilkens Ave Ste 300, Baltimore, MD 21229 Phone: 410-644-5111 |
Dana Aybout, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470 |