White Marsh Healthcare Physical Medicine Llc is a
Physical Medicine & Rehabilitation based in White Marsh, Maryland. White Marsh Healthcare Physical Medicine Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
5430 Campbell Blvd., Ste. 106, White Marsh, Maryland. It can be reached at their office (for appointments etc.) via phone at
(443) 600-5807.
NPI number for White Marsh Healthcare Physical Medicine Llc is 1063722700 and their current mailing address is 5430 Campbell Blvd., Ste. 106, White Marsh, Maryland. White Marsh Healthcare Physical Medicine Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1063722700.
Healthcare Provider's Profile
| Full Name | White Marsh Healthcare Physical Medicine Llc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 5430 Campbell Blvd., White Marsh, Maryland |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063722700
- Provider Enumeration Date: 10/15/2010
- Last Update Date: 08/10/2011
Medical Identifiers
Medical identifiers for White Marsh Healthcare Physical Medicine Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063722700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 03606 (Maryland) | Secondary |
| 111N00000X | Chiropractor | 03470 (Maryland) | Secondary |
| 207R00000X | Internal Medicine | MD20215 (Maryland) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| 208D00000X | General Practice | D27411 (Maryland) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | C3824 (Maryland) | Secondary |
| 363AM0700X | Physician Assistant - Medical | C0000614 (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. White Marsh Healthcare Physical Medicine Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
White Marsh Healthcare Physical Medicine Llc
5430 Campbell Blvd., Ste. 106,
White Marsh, MD 21162
Ph: (443) 725-4930 | White Marsh Healthcare Physical Medicine Llc
5430 Campbell Blvd., Ste. 106,
White Marsh, MD 21162
Ph: (443) 600-5807 |
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