| Ranier Selorio Delos Reyes, | |
|
5001 Saint Matthews Dr, Waldorf, MD 20602-5183 | |
| (240) 533-1444 | |
| Not Available |
| Full Name | Ranier Selorio Delos Reyes |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 5001 Saint Matthews Dr, Waldorf, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104497817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | RN1017208 (District Of Columbia) | Primary |
| Entity Name | M Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20160627000350 |
| Entity Name | M Management Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487215182 PECOS PAC ID: 6709115298 Enrollment ID: O20190909002597 |
| Mailing Address | Practice Location Address |
|---|---|
| Ranier Selorio Delos Reyes, 5001 Saint Matthews Dr, Waldorf, MD 20602-5183 Ph: (240) 533-1444 | Ranier Selorio Delos Reyes, 5001 Saint Matthews Dr, Waldorf, MD 20602-5183 Ph: (240) 533-1444 |
Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Patricks Dr, Waldorf, MD 20603 Phone: 301-373-7900 Fax: 301-373-6900 | |
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Post Office Rd Ste 302, Waldorf, MD 20602 Phone: 240-353-2516 Fax: 240-448-8893 | |
Vanessa Wansel, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2193 Everett Ct, Waldorf, MD 20601 Phone: 301-535-8457 | |
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994 | |
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10542 Black Pine Ln, Waldorf, MD 20603 Phone: 301-537-3642 | |
Queen K Iji, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3070 Crain Hwy, Waldorf, MD 20601 Phone: 301-645-3556 | |
Ms. Cecelia Ann Gramsky, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3581 Old Washington Rd, Suite F, Waldorf, MD 20602 Phone: 301-638-4400 Fax: 301-638-2200 |