Dr Barry I Bercovitz, MD | |
1106 Annapolis Rd, Odenton, MD 21113-1637 | |
(410) 874-1400 | |
(410) 874-1411 |
Full Name | Dr Barry I Bercovitz |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1106 Annapolis Rd, Odenton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265536585 | NPI | - | NPPES |
277601400 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D36033 (Maryland) | Primary |
Entity Name | Johns Hopkins Community Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065 |
Mailing Address | Practice Location Address |
---|---|
Dr Barry I Bercovitz, MD 3100 Wyman Park Drive, Suite 359a, Baltimore, MD 21211 Ph: (410) 874-1400 | Dr Barry I Bercovitz, MD 1106 Annapolis Rd, Odenton, MD 21113-1637 Ph: (410) 874-1400 |
Dr. Wanda Rivera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1132 Annapolis Rd, Odenton, MD 21113 Phone: 410-874-1400 | |
Melissa Nedelka Anderson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Annapolis Rd, Odenton, MD 21113 Phone: 443-351-3917 Fax: 443-351-3918 | |
Dr. Jefferson L Hendrickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd, Odenton, MD 21113 Phone: 410-874-1400 | |
Ms. Pamela Denise Ponder, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2603 Portola Court, Odenton, MD 21113 Phone: 301-377-6891 | |
Dr. Mark H. Davino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd, Suite 310, Odenton, MD 21113 Phone: 410-874-1400 Fax: 410-874-1411 | |
Robert Bradley Boughan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd, Suite 310, Odenton, MD 21113 Phone: 410-874-1400 Fax: 410-874-1411 |