Primal Point Llc - Medicare Mental Health Clinic in Parkville, MD

Primal Point Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Parkville, Maryland. The current practice location for Primal Point Llc is 8713 Harford Rd Ste 102, Parkville, Maryland. For appointments, you can reach them via phone at (410) 870-1590. The mailing address for Primal Point Llc is 8713 Harford Rd Ste 102, Parkville, Maryland and phone number is (410) 870-1590.

Primal Point Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114691672. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 870-1590.

Contact Information

Primal Point Llc
8713 Harford Rd Ste 102
Parkville
MD 21234-4650
(410) 870-1590
Not Available

Mental Health Clinic Profile

Full NamePrimal Point Llc
SpecialityClinic/Center
Location8713 Harford Rd Ste 102, Parkville, Maryland
Authorized Official Name and PositionJane W Mwangi (PRESIDENT)
Authorized Official Contact4108701590
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primal Point Llc
8713 Harford Rd Ste 102
Parkville
MD 21234-4650

Ph: (410) 870-1590
Primal Point Llc
8713 Harford Rd Ste 102
Parkville
MD 21234-4650

Ph: (410) 870-1590

NPI Details:

NPI Number1114691672
Provider Enumeration Date08/06/2021
Last Update Date08/06/2021
Certification Date08/06/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8820494958
Medicare Enrollment IDO20210915000015

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Medical Identifiers

Medical identifiers for Primal Point Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114691672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Primal Point Llc acts as a billing entity for following providers:
Provider NameJane Wanjira Mwangi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699107250
PECOS PAC ID: 4385070333
Enrollment ID: I20200211000611

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Provider NameNgufor Fube Divine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669197208
PECOS PAC ID: 1557767688
Enrollment ID: I20221209000420

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