Individual ProviderRita DexterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7404 Executive Pl, Lanham, MD 20706-2268(202) 489-4115(202) 569-4166PECOS EnrollmentBased on the most recent information from CMS, provider Rita Dexter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1538792007Provider TypeIndividualFull NameDexter, RitaGenderFemaleSole ProprietorYesEnumeration Date2/12/2020Last Updated6/13/2023Contact InformationPractice LocationPractice Address7404 Executive Pl, Lanham, MD 20706-2268Phone(202) 489-4115FaxUnlisted FaxMailing LocationMailing Address8907 Brae Brooke Dr, Lanham, MD 20706-3385Phone(202) 569-4166FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN1024585District of ColumbiaCode363LP0808XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR198781Maryland