Dr Alicia Perez, MD | |
12145 Elm St, Princess Anne, MD 21853-1358 | |
(410) 651-5135 | |
(410) 651-4682 |
Full Name | Dr Alicia Perez |
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Gender | Female |
Speciality | Pediatrics |
Location | 12145 Elm St, Princess Anne, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225066350 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D0072650 (Maryland) | Primary |
Entity Name | Three Lower Counties Community Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093 |
Mailing Address | Practice Location Address |
---|---|
Dr Alicia Perez, MD Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Dr Alicia Perez, MD 12145 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-5135 |
Dr. Donna F Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11868 Academic Oval, University Of Maryland Eastern Shore Hh # 1042, Princess Anne, MD 21853 Phone: 410-651-8452 Fax: 410-651-7586 | |
Dr. Khaled Faisal Abdul Rahman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12145 Elm St, Princess Anne, MD 21853 Phone: 410-651-5135 Fax: 410-651-4682 |