Dr Jarl Thomas Wathne, M D | |
11110 Medical Campus Rd, Ste 126, Hagerstown, MD 21742-6799 | |
(301) 714-4375 | |
(301) 714-4365 |
Full Name | Dr Jarl Thomas Wathne |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 11110 Medical Campus Rd, Hagerstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801898002 | NPI | - | NPPES |
148591100 793251101 | Medicaid | MD | |
53302402 S186 | Other | MD | CAREFIRST BS IND & GRP |
516773 GRP 593934 | Other | PA | PA BS PA LOCATION |
0005 H883 | Other | MD | CAREFIRST REGIONAL NTWRK |
2172963 | Other | MD | MAMSI |
516615 GRP 59855 | Other | MD | PA BS MD LOCATION |
50002834 GP 02426700 | Other | MD | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | D0046383 (Maryland) | Primary |
Entity Name | Cumberland Valley Ent Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649272824 PECOS PAC ID: 3577511922 Enrollment ID: O20050502000903 |
Mailing Address | Practice Location Address |
---|---|
Dr Jarl Thomas Wathne, M D 11110 Medical Campus Rd, Ste 126, Hagerstown, MD 21742-6799 Ph: (301) 714-4375 | Dr Jarl Thomas Wathne, M D 11110 Medical Campus Rd, Ste 126, Hagerstown, MD 21742-6799 Ph: (301) 714-4375 |
Angela C. Stonebraker, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 126, Hagerstown, MD 21742 Phone: 301-714-4375 Fax: 301-714-4399 | |
Dr. Anthony Christopher Manilla, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Sutie 126, Hagerstown, MD 21742 Phone: 301-714-4375 Fax: 301-714-4399 | |
Bibhas C Bandy, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 363 S Cleveland Ave, Suite 202, Hagerstown, MD 21740 Phone: 301-790-0444 Fax: 301-739-3275 | |
Dr. Kirby J Scott, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1800 Dual Hwy, Suite #303, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402 | |
Dr. Nathan Allen Deckard, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1800 Dual Hwy Ste 303, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402 | |
Dr. Edward John Drawbaugh, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 19004 Cherry Tree Dr, Hagerstown, MD 21742 Phone: 301-797-0889 | |
Dr. Charles J Supernavage, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1800 Dual Hwy 303, Hagerstown, MD 21740 Phone: 301-739-0400 Fax: 301-739-0402 |