Dr Clint Tanner Allen, MD | |
6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 | |
(301) 896-3331 | |
Not Available |
Full Name | Dr Clint Tanner Allen |
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Gender | Male |
Speciality | Otolaryngology |
Location | 6420 Rockledge Dr, Bethesda, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861697021 | NPI | - | NPPES |
1861697021 | Medicaid | WA | |
0294408 | Other | WA | L&I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD60276311 (Washington) | Secondary |
207Y00000X | Otolaryngology | 0101275391 (Virginia) | Secondary |
207Y00000X | Otolaryngology | D76403 (Maryland) | Primary |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1275097123 PECOS PAC ID: 2466351093 Enrollment ID: O20190509001539 |
Mailing Address | Practice Location Address |
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Dr Clint Tanner Allen, MD 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 Ph: (301) 896-3331 | Dr Clint Tanner Allen, MD 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 Ph: (301) 896-3331 |
Dr. Isaac E Schwartz, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4994 Palmer Dr N, Bethesda, MD 20889 Phone: 301-295-4664 | |
Dr. David Nathaniel Fairbanks, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 6600 Bradley Blvd., Bethesda, MD 20817 Phone: 301-365-1264 Fax: 301-365-5025 | |
Esther Kim, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 8901 Wisconsin Ave, 5th Floor, America Building, Bethesda, MD 20889 Phone: 301-295-4664 Fax: 301-295-6666 | |
Dr. Loring Isaac Perry, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4904 Asbury Ln, Bethesda, MD 20814 Phone: 301-312-4087 Fax: 301-571-0089 | |
Dr. Erik Kass, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 7986 Old Georgetown Rd, Suite B, Bethesda, MD 20814 Phone: 301-881-1736 Fax: 301-664-6470 | |
Duane Jon Taylor, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6410 Rockledge Dr, 650, Bethesda, MD 20817 Phone: 301-580-1080 | |
Dr. Jagatkumar Amrutlal Patel, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 8901 Rockville Pike, Bethesda, MD 20889 Phone: 301-295-4000 |