Dr Clinton David Protack, MD | |
520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014-4375 | |
(410) 879-2006 | |
(410) 879-0428 |
Full Name | Dr Clinton David Protack |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 16 Years |
Location | 520 Upper Chesapeake Dr Ste 306, Bel Air, 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 |
---|---|---|---|
1952563801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | D87273 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Umd Upper Chesapeake Medical Center | Bel air, MD | Hospital |
Union Hospital Of Cecil County | Elkton, MD | Hospital |
Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
University Of Md St Joseph Medical Center | Towson, MD | Hospital |
Greater Baltimore Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vascular Surgery Associates Llc | 3173500410 | 19 |
Entity Name | Vascular Surgery Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548222912 PECOS PAC ID: 3173500410 Enrollment ID: O20040702001170 |
Mailing Address | Practice Location Address |
---|---|
Dr Clinton David Protack, MD 520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014-4375 Ph: (410) 879-2006 | Dr Clinton David Protack, MD 520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014-4375 Ph: (410) 879-2006 |
Dr. David Marshall Lanphear, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2515 Fairway Dr., Bel Air, MD 21015 Phone: 410-836-5016 | |
Dr. Peter J Mackrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014 Phone: 410-879-2006 Fax: 410-879-0248 | |
Philip Andrew Rivera, MD Surgery Medicare: Medicare Enrolled Practice Location: 520 Upper Chesapeake Dr Ste 306, Bel Air, MD 21014 Phone: 410-879-2006 | |
Andre Biuckians, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014 Phone: 617-512-7277 | |
Dr. Richard A Bafford, MD, MSPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014 Phone: 410-879-2006 | |
Dr. Mathew A. Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2012 S Tollgate Rd, Suite 100, Bel Air, MD 21015 Phone: 410-569-5155 Fax: 410-569-5166 | |
Dr. Roger E Schneider, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Upper Chesapeake Dr, Suite 306, Bel Air, MD 21014 Phone: 410-879-2006 Fax: 410-879-0248 |