Dr Celestino Monzon Menchavez, MD | |
915 Bishop Walsh Rd, Cumberland, MD 21502-1850 | |
(301) 777-2722 | |
(301) 777-2736 |
Full Name | Dr Celestino Monzon Menchavez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 915 Bishop Walsh Rd, Cumberland, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144373549 | NPI | - | NPPES |
402692600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D58923 (Maryland) | Primary |
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
---|---|
Dr Celestino Monzon Menchavez, MD 915 Bishop Walsh Rd, Cumberland, MD 21502-1850 Ph: (301) 777-2722 | Dr Celestino Monzon Menchavez, MD 915 Bishop Walsh Rd, Cumberland, MD 21502-1850 Ph: (301) 777-2722 |
Dr. Sue Vauthier Raver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12501 Willowbrook Rd, Allegany County Health Department, Cumberland, MD 21501 Phone: 301-759-5001 Fax: 301-777-5674 | |
Susan M Nuber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Michael Levitas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Byron A Haworth, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Robert J Dawson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
Rodney A Williams, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 |