| Graceway Health Care Llc | |
|
9106 Pine View Ln Clinton MD 20735-3229 | |
| (667) 300-8222 | |
| Not Available |
| Full Name | Graceway Health Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9106 Pine View Ln, Clinton, Maryland |
| Authorized Official Name and Position | Krystle D Brown (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4108006251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceway Health Care Llc 10259 Cabery Rd Ellicott City MD 21042-1605 Ph: (410) 870-9380 | Graceway Health Care Llc 9106 Pine View Ln Clinton MD 20735-3229 Ph: (667) 300-8222 |
| NPI Number | 1417779083 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 02/25/2025 |
| Medicare PECOS PAC ID | 9537544648 |
|---|---|
| Medicare Enrollment ID | O20221005002859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417779083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Benorayehush B Weldetsadik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255579744 PECOS PAC ID: 6507049814 Enrollment ID: I20110324000256 |
| Provider Name | Addisu M Temesgen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386971927 PECOS PAC ID: 4183812266 Enrollment ID: I20120625000642 |
| Provider Name | Ali M Yahya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013934181 PECOS PAC ID: 8022141803 Enrollment ID: I20131115000013 |
| Provider Name | Mesay W Gebresilassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568918472 PECOS PAC ID: 9537448741 Enrollment ID: I20161110001997 |
| Provider Name | Sharen Ayensu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952642357 PECOS PAC ID: 4789963547 Enrollment ID: I20161222000893 |
| Provider Name | Nwaebuni O Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528594462 PECOS PAC ID: 7810267432 Enrollment ID: I20170714000214 |
| Provider Name | Yoseph Fisahaye Teweldebrhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508009 PECOS PAC ID: 8820361181 Enrollment ID: I20171122002671 |
| Provider Name | Morenike E Agboola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811469414 PECOS PAC ID: 0244667343 Enrollment ID: I20200921000595 |
| Provider Name | Yolanda Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073846382 PECOS PAC ID: 3274898861 Enrollment ID: I20211202000162 |
Still I Rise, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9023 Woodyard Rd, Clinton, MD 20735 Phone: 301-868-4903 | |
Drs.fernandez And Sriprasert P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, Suite C102, Clinton, MD 20735 Phone: 301-868-8200 Fax: 301-868-6776 | |
Glenn R. Edgecombe, Md,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, B201, Clinton, MD 20735 Phone: 301-868-0150 Fax: 301-868-0243 | |
Rahimian & Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10403 Hospital Dr, Suite G-6, Clinton, MD 20735 Phone: 301-877-7660 Fax: 301-877-7662 | |
M Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9106 Pine View Ln, Clinton, MD 20735 Phone: 301-856-2930 | |
Standard Healthcare Plus Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9135 Piscataway Rd Ste 410, Clinton, MD 20735 Phone: 240-643-1063 | |
Mgmc, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8926 Woodyard Rd, Suite 602, Clinton, MD 20735 Phone: 301-856-1682 Fax: 301-599-0943 |