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Ethel Esuma Elad

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9470 Annapolis Rd, Lanham, MD 20706-3025

PECOS Enrollment

This provider is enrolled in PECOS as ETHEL ELAD.

Based on the most recent information from CMS, provider Ethel Esuma Elad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:04 AM.

Profile Details

Provider ID
1033815790
Provider Type
Individual
Full Name
Elad, Ethel Esuma
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/3/2023
Last Updated
2/3/2023

Contact Information

Practice Location

9470 Annapolis Rd, Lanham, MD 20706-3025

(202) 499-4300

Unlisted Fax

Mailing Location

7972 Potter Pl, Elkridge, MD 21075-8226

(301) 793-0468

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License NP500007113 District of Columbia

Ethel Esuma Elad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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