Dr Bruce James Sumlin, MD | |
6418 Reisterstown Rd, Baltimore, MD 21215-2308 | |
(410) 318-8855 | |
(410) 764-3229 |
Full Name | Dr Bruce James Sumlin |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 6418 Reisterstown Rd, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821068107 | NPI | - | NPPES |
DR0006276 | Other | DE | CDS # |
11809122 | Other | CAQH | |
M94008 | Other | MD | CDS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD454657 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | C1-0008619 (Delaware) | Secondary |
207W00000X | Ophthalmology | D0067113 (Maryland) | Primary |
Entity Name | Douglas J Lavenburg Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831276385 PECOS PAC ID: 3476549098 Enrollment ID: O20090930000661 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce James Sumlin, MD 200 Banning St, Suite 130, Dover, DE 19904-3485 Ph: (302) 678-1700 | Dr Bruce James Sumlin, MD 6418 Reisterstown Rd, Baltimore, MD 21215-2308 Ph: (410) 318-8855 |
Dr. Pradeep Y Ramulu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6052 | |
Ashley Behrens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 N. Wolfe Street, Baltimore, MD 21287 Phone: 410-502-0461 | |
Neil R Miller, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-5080 | |
Dr. Allan Griffiths Scott, M.D Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6231 N Charles St, Baltimore, MD 21212 Phone: 410-377-2044 Fax: 410-377-8061 | |
Lily T Im, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 419 W Redwood St, Suite 479, Baltimore, MD 21201 Phone: 410-328-5918 Fax: 410-328-6346 | |
Brinda Muthusamy, MBCHB Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: The Wilmer Eye Institute Johns, 600 North Wolfe Street, Baltimore, MD 21287 Phone: 410-955-8314 | |
Israel Jesus Mendez Bermudez, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21264 Phone: 410-955-5080 |