| Maryland Wellness And Psychiatry Llc | |
|
550 Highland St Ste 310 Frederick MD 21701-5785 | |
| (410) 936-3939 | |
| Not Available |
| Full Name | Maryland Wellness And Psychiatry Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 550 Highland St Ste 310, Frederick, Maryland |
| Authorized Official Name and Position | Lance Conda (BILLING MANAGER) |
| Authorized Official Contact | 4109273510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Wellness And Psychiatry Llc 550 Highland St Ste 310 Frederick MD 21701-5785 Ph: (410) 936-3939 | Maryland Wellness And Psychiatry Llc 550 Highland St Ste 310 Frederick MD 21701-5785 Ph: (410) 936-3939 |
| NPI Number | 1548920697 |
|---|---|
| Provider Enumeration Date | 12/29/2021 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 6709279532 |
|---|---|
| Medicare Enrollment ID | O20220131001313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548920697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Ritu Goel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255669222 PECOS PAC ID: 7517350341 Enrollment ID: I20220131001410 |
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