Mrs Mary-blake Harbin Summerlin, RD is a
Dietitian, Registered based in Hollywood, Maryland. Mrs Mary-blake Harbin Summerlin is licensed to practice in Maryland (license number DX3157) and her current practice location is
24035 Three Notch Rd, Hollywood, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 373-7900.
NPI number for Mrs Mary-blake Harbin Summerlin is 1942505516 and her current mailing address is 23256 Wild Daisy Way, California, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942505516.
Healthcare Provider's Profile
Full Name | Mrs Mary-blake Harbin Summerlin |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 24035 Three Notch Rd, Hollywood, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942505516
- Provider Enumeration Date: 01/12/2011
- Last Update Date: 01/12/2011
Medical Identifiers
Medical identifiers for Mrs Mary-blake Harbin Summerlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942505516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DX3157 (Maryland) | Primary |
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. Mrs Mary-blake Harbin Summerlin 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 |
Mrs Mary-blake Harbin Summerlin, RD 23256 Wild Daisy Way, California, MD 20619-4186 Ph: (410) 412-4994 | Mrs Mary-blake Harbin Summerlin, RD 24035 Three Notch Rd, Hollywood, MD 20636-4871 Ph: (301) 373-7900 |
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