| Epec Clinic LLC | |
|
9106 Philadelphia Rd Ste 106 Rosedale MD 21237-4335 | |
| (443) 559-8354 | |
| Not Available |
| Full Name | Epec Clinic LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 9106 Philadelphia Rd Ste 106, Rosedale, Maryland |
| Authorized Official Name and Position | Lekeya Hutton (OWNER) |
| Authorized Official Contact | 4435598354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epec Clinic LLC 9106 Philadelphia Rd Ste 106 Rosedale MD 21237-4335 Ph: (443) 559-8354 | Epec Clinic LLC 9106 Philadelphia Rd Ste 106 Rosedale MD 21237-4335 Ph: (443) 559-8354 |
| NPI Number | 1316578917 |
|---|---|
| Provider Enumeration Date | 02/01/2020 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 9638507783 |
|---|---|
| Medicare Enrollment ID | O20200324000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316578917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Secondary |
| Provider Name | Lekeya Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467935957 PECOS PAC ID: 3072855402 Enrollment ID: I20190503000991 |
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