Dr Gwenneth O Cancino, MD | |
115 W Bel Air Avenue, Aberdeen, MD 21001-3221 | |
(410) 272-3377 | |
(410) 273-1479 |
Full Name | Dr Gwenneth O Cancino |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 33 Years |
Location | 115 W Bel Air Avenue, Aberdeen, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487657227 | NPI | - | NPPES |
H9660002 | Other | MD | CAREFIRST OF DC |
53276204 | Other | MD | CAREFIRST OF MD |
323951900 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0046268 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Primary Care Llc | 7214183227 | 2 |
Entity Name | Prohealth Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982962692 PECOS PAC ID: 7214183227 Enrollment ID: O20120807000661 |
Mailing Address | Practice Location Address |
---|---|
Dr Gwenneth O Cancino, MD 115 W Bel Air Avenue, Aberdeen, MD 21001-3221 Ph: (410) 272-1692 | Dr Gwenneth O Cancino, MD 115 W Bel Air Avenue, Aberdeen, MD 21001-3221 Ph: (410) 272-3377 |
Dr. Bruce C Kinzinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 Hospitality Way, Aberdeen, MD 21001 Phone: 410-306-7880 Fax: 410-306-7881 | |
Ms. Tatyauna Lanier, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 650 Mchenry Rd, Aberdeen, MD 21001 Phone: 443-843-6262 | |
Dr. Andrew Mrowiec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Aberdeen Shopping Plz, Aberdeen, MD 21001 Phone: 410-272-8844 Fax: 410-272-8910 | |
Dr. Derek Thomas Sueno-noel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6455 Machine Dr, Aberdeen, MD 21005 Phone: 410-278-5475 Fax: 877-811-2184 |