Cannakush Consulting Office LLC
A Medicare group practice based in Baltimore, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305203308), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6305203308
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230607000476 | MD | Part B Supplier - Clinic/Group Practice | 1215528369 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Cannakush Consulting Office LLC
- Primary Care Clinic/Center
- Baltimore, MD
- NPI 1215528369
-
Cannakush Consulting Office LLC
dba KeyeWellness Treatment
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1891688529
Practice locations
- Baltimore, MD1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Amorie Ebanks, NURSE PRACTITIONER
- Nurse Practitioner
- Silver Spring, MD
- NPI 1851052260
-
Katrina Yvonne Elizabeth Griffin, CRNP
- Family Nurse Practitioner
- Towson, MD
- NPI 1588203228
-
Grace Mbakop
- Family Nurse Practitioner
- Gwynn Oak, MD
- NPI 1023839800
-
Betsy White, NP
- Nurse Practitioner
- Baltimore, MD
- NPI 1720565872
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.