| Sacred Heart Medical Group P.c. | |
|
7525 Greenway Center Dr Ste 204 Greenbelt MD 20770-3525 | |
| (240) 542-4810 | |
| Not Available |
| Full Name | Sacred Heart Medical Group P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7525 Greenway Center Dr Ste 204, Greenbelt, Maryland |
| Authorized Official Name and Position | Gabriel Oboite (PHYSICIAN) |
| Authorized Official Contact | 2405424810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Heart Medical Group P.c. 7525 Greenway Center Dr Ste 204 Greenbelt MD 20770-3525 Ph: (240) 542-4810 | Sacred Heart Medical Group P.c. 7525 Greenway Center Dr Ste 204 Greenbelt MD 20770-3525 Ph: (240) 542-4810 |
| NPI Number | 1710327382 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 03/20/2025 |
| Medicare PECOS PAC ID | 3678701802 |
|---|---|
| Medicare Enrollment ID | O20140116000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710327382 | NPI | - | NPPES |
| 022639M83 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | D0068121 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | D0068121 (Maryland) | Primary |
| Provider Name | Gabriel E Oboite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386830776 PECOS PAC ID: 8729177688 Enrollment ID: I20071130000356 |
| Provider Name | Joan C Oboite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669656773 PECOS PAC ID: 9335204510 Enrollment ID: I20090223000578 |
| Provider Name | Meg Victoria Cisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841944022 PECOS PAC ID: 7416303441 Enrollment ID: I20231027001631 |
| Provider Name | Amaka Nwadiugwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972253573 PECOS PAC ID: 1456707314 Enrollment ID: I20231028000137 |
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