OrganizationOmega Family ClinicFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7203 Hanover Pkwy Ste B, Greenbelt, MD 20770-2000(240) 391-6730PECOS EnrollmentBased on the most recent information from CMS, provider Omega Family Clinic does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1750702049Provider TypeOrganizationFull NameOmega Family ClinicSubpartNoEnumeration Date1/3/2014Last Updated1/10/2018Contact InformationPractice LocationPractice Address7203 Hanover Pkwy Ste B, Greenbelt, MD 20770-2000Phone(240) 391-6730Fax(888) 502-3207Mailing LocationMailing Address7203 Hanover Pkwy Ste B, Greenbelt, MD 20770-2000Phone(240) 391-6730Fax(888) 502-3207Authorized OfficialNameOni, Taiye (President /Owner)Phone(202) 361-8842Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDRN1008766DescriptionOtherIssuerDC STATE LICENSEDistrict of Columbia