Dr Clifford E Boehm, MD | |
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
(410) 701-4547 | |
(410) 701-4342 |
Full Name | Dr Clifford E Boehm |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 5401 Old Court Rd, Randallstown, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902846207 | NPI | - | NPPES |
551691900 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | D37884 (Maryland) | Primary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | D0037884 (Maryland) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 837 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Mailing Address | Practice Location Address |
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Dr Clifford E Boehm, MD 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 701-4547 | Dr Clifford E Boehm, MD 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 701-4547 |
Jon A Newsome, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Harinarayan Balasubramanian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Nicholas Patchan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Dr. Francesca Marie Uberoi, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Lifebridge Anesthesia Llc, Randallstown, MD 21133 Phone: 410-701-4547 Fax: 417-701-4342 | |
Michael Bezman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Harinath Meda, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-701-4547 Fax: 410-701-4342 | |
Wallace Kowalczyk, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 Fax: 410-655-7190 |