| Access Carroll, Inc. | |
|
10 Distillery Rd Suite 200 Westminster MD 21157-5344 | |
| (410) 871-1478 | |
| (410) 871-3219 |
| Full Name | Access Carroll, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Distillery Rd, Westminster, Maryland |
| Authorized Official Name and Position | Tammy L Black (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4108713218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Carroll, Inc. 10 Distillery Rd Suite 200 Westminster MD 21157-5344 Ph: (410) 871-1478 | Access Carroll, Inc. 10 Distillery Rd Suite 200 Westminster MD 21157-5344 Ph: (410) 871-1478 |
| NPI Number | 1891113221 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 8921412891 |
|---|---|
| Medicare Enrollment ID | O20210204001543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891113221 | NPI | - | NPPES |
| Provider Name | Joan Marie Mcinerney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851734289 PECOS PAC ID: 8820070766 Enrollment ID: I20040604000250 |
| Provider Name | Daniel C Aukerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659494110 PECOS PAC ID: 7113093139 Enrollment ID: I20080827000475 |
| Provider Name | Helen Anokhin-mogilnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205139870 PECOS PAC ID: 6305023102 Enrollment ID: I20110603000290 |
| Provider Name | Tami L Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841325354 PECOS PAC ID: 9638302888 Enrollment ID: I20140424000332 |
| Provider Name | Mary Gardenghi Lambertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710423199 PECOS PAC ID: 9537438809 Enrollment ID: I20200123000756 |
| Provider Name | Esther Agajelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730781725 PECOS PAC ID: 9133522543 Enrollment ID: I20210722002952 |
| Provider Name | Seth Patrick Ditman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174251797 PECOS PAC ID: 9830564384 Enrollment ID: I20230414000084 |
| Provider Name | Sun Young Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306569322 PECOS PAC ID: 3173989753 Enrollment ID: I20230524002241 |
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