| Roche Watson, | |
|
11637 Terrace Dr, Waldorf, MD 20602-3706 | |
| (301) 870-7287 | |
| Not Available |
| Full Name | Roche Watson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11637 Terrace 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 |
|---|---|---|---|
| 1639522659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R187378 (Maryland) | Primary |
| Entity Name | C C Neurology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750158374 PECOS PAC ID: 4880047646 Enrollment ID: O20240129000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Roche Watson, 11637 Terrace Dr, Waldorf, MD 20602-3706 Ph: (301) 870-7287 | Roche Watson, 11637 Terrace Dr, Waldorf, MD 20602-3706 Ph: (301) 870-7287 |
Mr. Moenil Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 St. Patrick's Drive, Waldorf, MD 20603 Phone: 301-705-7870 Fax: 301-705-7628 |
Ms. Gloria Alice Johnston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Post Office Rd Ste 302, Waldorf, MD 20602 Phone: 240-353-2516 Fax: 240-448-8893 |
Emily Rosa Odenwald, MSN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 173 Saint Patricks Dr Ste 104, Waldorf, MD 20603 Phone: 888-731-8994 |
Ayanna Riley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11610 Lewisham Pl Apt 305, Waldorf, MD 20602 Phone: 201-667-8892 |
Dawnette Gaylene Campbell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments 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 |