Dr Jacqueline Christina Shepard-lewis, MD | |
7070 Samuel Morse Dr, Columbia, MD 21046-3405 | |
(410) 309-4600 | |
Not Available |
Full Name | Dr Jacqueline Christina Shepard-lewis |
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Gender | Female |
Speciality | Family Medicine |
Location | 7070 Samuel Morse Dr, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518025477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD33802 (District Of Columbia) | Secondary |
207Q00000X | Family Medicine | D0064035 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
Mailing Address | Practice Location Address |
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Dr Jacqueline Christina Shepard-lewis, MD 1906 Hampshire Dr, Adelphi, MD 20783-2030 Ph: (301) 431-2721 | Dr Jacqueline Christina Shepard-lewis, MD 7070 Samuel Morse Dr, Columbia, MD 21046-3405 Ph: (410) 309-4600 |
Daliah Walid Halboni, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 6350 Stevens Forest Rd Ste 102, Columbia, MD 21046 Phone: 443-259-3770 | |
Dr. Steve Eric Phurrough, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6179 Devon Dr, Columbia, MD 21044 Phone: 410-730-8919 | |
Dr. Muleta Tadesse Obsu, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6990 Columbia Gateway Dr, Suite 350, Columbia, MD 21046 Phone: 410-872-8590 Fax: 410-872-0141 | |
Dr. Leonard A Richardson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9520 Berger Rd Ste 212, Columbia, MD 21046 Phone: 410-381-8078 Fax: 443-445-4111 | |
Francis C. Bruno, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11085 Little Patuxent Parkway, Suite 104, Columbia, MD 21044 Phone: 410-997-2770 Fax: 410-997-0066 | |
Antoinette M Cheney, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5450 Knoll North Dr, Suite 250, Columbia, MD 21045 Phone: 410-964-6200 Fax: 410-964-6293 | |
Ina Grundmann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Nava Health And Vitality Center, 8880 Mcgaw Rd, Columbia, MD 21045 Phone: 410-910-6156 |