| United Care Team Llc | |
|
199 E Montgomery Ave Ste 100 Rockville MD 20850-2361 | |
| (888) 402-0202 | |
| (248) 697-2794 |
| Full Name | United Care Team Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 199 E Montgomery Ave Ste 100, Rockville, Maryland |
| Authorized Official Name and Position | Kimberly Miller (DIRECTOR OF RCM) |
| Authorized Official Contact | 2483317908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Care Team Llc Po Box 83240 Chicago IL 60691-0240 Ph: (888) 402-0202 | United Care Team Llc 199 E Montgomery Ave Ste 100 Rockville MD 20850-2361 Ph: (888) 402-0202 |
| NPI Number | 1679278063 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 5092171876 |
|---|---|
| Medicare Enrollment ID | O20230522000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679278063 | NPI | - | NPPES |
| Provider Name | Carnell Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447287446 PECOS PAC ID: 6608929013 Enrollment ID: I20090803000546 |
| Provider Name | Jonathan Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992953749 PECOS PAC ID: 5597936856 Enrollment ID: I20120104000396 |
| Provider Name | Chelsea Ray O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710644349 PECOS PAC ID: 1254724289 Enrollment ID: I20231107000066 |
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