Mrs Jo Ellen Condon, RD, LD, CDE | |
192a S Southwood Ave, Annapolis, MD 21401-4026 | |
(410) 487-2779 | |
(410) 280-2278 |
Full Name | Mrs Jo Ellen Condon |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 35 Years |
Location | 192a S Southwood Ave, Annapolis, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538216932 | NPI | - | NPPES |
787019 | Other | MD | MEDICARE |
166237 | Other | NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS | |
DX2531 | Other | MD | MARYLAND STATE BOARD OF DIETETIC PRACTICE |
725845 | Other | AMERICAN DIETETIC ASSOCIATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DX2531 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Luminis Health Medical Group, Llc | 2860447315 | 437 |
Chesapeake Endocrinology Llc | 7416336276 | 2 |
Provider Name | Luminis Health Medical Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Provider Name | Luminis Health Community Clinics, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073950671 PECOS PAC ID: 0345475851 Enrollment ID: O20131108000006 |
Provider Name | Chesapeake Endocrinology Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285375931 PECOS PAC ID: 7416336276 Enrollment ID: O20220624001032 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jo Ellen Condon, RD, LD, CDE 192a S Southwood Ave, Annapolis, MD 21401-4026 Ph: (410) 487-2779 | Mrs Jo Ellen Condon, RD, LD, CDE 192a S Southwood Ave, Annapolis, MD 21401-4026 Ph: (410) 487-2779 |
Rdiabetes Empowermnt Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 192a S Southwood Ave, Annapolis, MD 21401 Phone: 410-487-2779 Fax: 410-280-2278 | |
Kathleen Landers, Rd Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 605, Annapolis, MD 21401 Phone: 410-266-5667 Fax: 410-266-9332 | |
Staci Gulbin, Rd Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 605, Annapolis, MD 21401 Phone: 410-266-5667 Fax: 410-266-9332 | |
Rachel Chun, PA-C, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy Ste 600, Annapolis, MD 21401 Phone: 443-481-6699 | |
Lilah Al-masri, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 Wood Rd, Annapolis, MD 21402 Phone: 410-293-4378 | |
Mrs. Allison Maurer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Pkwy, Suite 600, Annapolis, MD 21401 Phone: 443-481-6699 Fax: 443-481-6713 | |
Arianne Kirby, Rd Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2003 Medical Pkwy, Suite G90, Annapolis, MD 21401 Phone: 443-481-4600 Fax: 443-481-3998 |