Dr Ian M Shantz, MD | |
2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054-1690 | |
(410) 721-1507 | |
(410) 721-1510 |
Full Name | Dr Ian M Shantz |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 2401 Brandermill Blvd, Gambrills, 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 |
---|---|---|---|
1083607410 | NPI | - | NPPES |
4668884 | Other | AETNA PPO | |
9961 | Other | KAISER | |
0002 | Other | BCBS | |
2133458 | Other | MAMSI | |
278331200 | Medicaid | MD | |
609636400 | Other | FEDERAL WORKMANS COMP | |
2110345 | Other | AETNA HMO | |
52030309 | Other | BCBS | |
218331200 | Other | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0036203 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Luminis Health Medical Group, Llc | 2860447315 | 437 |
Entity Name | Luminis Health Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian M Shantz, MD Po Box 12622, Belfast, ME 04915-4017 Ph: (443) 481-6576 | Dr Ian M Shantz, MD 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054-1690 Ph: (410) 721-1507 |
Howard Kenneth Schultz Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1438 Defense Highway, Suite 201, Gambrills, MD 21054 Phone: 410-721-3200 Fax: 410-721-2680 | |
Peter Su, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1438 Defense Highway, Suite 201, Gambrills, MD 21054 Phone: 410-721-3200 Fax: 410-721-2680 | |
Michelle Marie Skinner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510 | |
Dr. David G Freas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510 | |
Mrs. Colleen King Goode, DNP, MA, FNP-BC, CNE Family Medicine Medicare: Medicare Enrolled Practice Location: 1404 S Main Chapel Way Ste 104, Gambrills, MD 21054 Phone: 443-814-9108 | |
Dr. David Conrad Anderson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 360, Gambrills, MD 21054 Phone: 410-721-9862 Fax: 410-721-9865 |