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Islammiyyah B Al-Ameen

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

226 N Potomac St, Hagerstown, MD 21740-3813

PECOS Enrollment

This provider is enrolled in PECOS as ISLAMMIYYAH AL-AMEEN.

Based on the most recent information from CMS, provider Islammiyyah B Al-Ameen 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 yesterday at 2:30 PM.

Profile Details

Provider ID
1861218760
Provider Type
Individual
Full Name
Al-Ameen, Islammiyyah B
Credential
RN,CPRP,PMHNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/25/2024
Last Updated
12/31/2024

Contact Information

Practice Location

226 N Potomac St, Hagerstown, MD 21740-3813

(410) 988-2655

Unlisted Fax

Mailing Location

226 N Potomac St, Hagerstown, MD 21740-3813

(240) 291-9317

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License R220837 Maryland

Islammiyyah B Al-Ameen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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License

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