| Prosperlyn Alieh, | |
|
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
| (410) 521-2200 | |
| Not Available |
| Full Name | Prosperlyn Alieh |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
| Location | 5401 Old Court Rd, Randallstown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780314971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | R209845 (Maryland) | Primary |
| Entity Name | Baltimore Medical System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164138152 PECOS PAC ID: 5395653455 Enrollment ID: O20031121000651 |
| Entity Name | Psychogeriatric Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040128000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Prosperlyn Alieh, 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (301) 254-4664 | Prosperlyn Alieh, 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 521-2200 |
Christine Lorraine Bartch, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3525 Resource Dr, Randallstown, MD 21133 Phone: 410-887-0607 | |
Mrs. Taiwo Ikeoluwa Ajao, MPH BSN RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4209 Dressage Ct, Randallstown, MD 21133 Phone: 410-913-0185 | |
Carla Perry, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3525 Resource Dr, Randallstown, MD 21133 Phone: 410-887-0609 | |
Micah Veronica Goodwin, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3704 Marriottsville Rd, Randallstown, MD 21133 Phone: 443-977-2066 | |
Jennifer Hubbard, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9854 Liberty Rd Ste E, Randallstown, MD 21133 Phone: 443-353-9729 | |
Mrs. Marva Beverly Gooden, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9029 Meadow Heights Rd, Randallstown, MD 21133 Phone: 410-496-0172 Fax: 410-377-9687 | |
Anna Kvech-hughes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3525 Resource Dr, Randallstown, MD 21133 Phone: 410-887-0607 |