Dr Leon Pendergraph Jr, MD - Internal Medicine in Patuxent River, MD

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Dr Leon Pendergraph Jr, MD is a Internal Medicine physician based in Patuxent River, Maryland. Dr Leon Pendergraph Jr is licensed to practice in Maryland (license number D63156) and his current practice location is 47149 Buse Rd, Bldg 1370, Patuxent River, Maryland. He can be reached at his office (for appointments etc.) via phone at (301) 342-9503.

NPI number for Dr Leon Pendergraph Jr is 1629056205 and his current mailing address is 47149 Buse Rd, Bldg 1370, Patuxent River, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629056205.

Contact Information

Dr Leon Pendergraph Jr, MD
47149 Buse Rd, Bldg 1370,
Patuxent River, MD 20670-1540
(301) 342-9503
(301) 342-4718

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Physician's Profile

Full NameDr Leon Pendergraph Jr
GenderMale
SpecialityInternal Medicine
Location47149 Buse Rd, Patuxent River, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629056205
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Leon Pendergraph Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629056205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D63156 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leon Pendergraph Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leon Pendergraph Jr, MD
47149 Buse Rd, Bldg 1370,
Patuxent River, MD 20670-1540

Ph: (301) 342-9503		Dr Leon Pendergraph Jr, MD
47149 Buse Rd, Bldg 1370,
Patuxent River, MD 20670-1540

Ph: (301) 342-9503

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Internal Medicine Doctors in Patuxent River, MD


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