Dr Michael De Wit, MD | |
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
(410) 521-5950 | |
Not Available |
Full Name | Dr Michael De Wit |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 5401 Old Court Rd, Randallstown, 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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1568577070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | D0068783 (Maryland) | Primary |
Entity Name | Mep Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164483558 PECOS PAC ID: 5193610319 Enrollment ID: O20050105000930 |
Entity Name | Mep Observation Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093003550 PECOS PAC ID: 2365611845 Enrollment ID: O20110818000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael De Wit, MD 5905 Rising Star, Elkridge, MD 21075-5341 Ph: (443) 820-3148 | Dr Michael De Wit, MD 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 521-5950 |
Debra Freeman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950 | |
Dr. Jennifer Ann Yorke, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Northwest Hospital Emergency Dept, Randallstown, MD 21133 Phone: 410-521-5950 | |
Aminat Ibikunle, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Dr. Jonathan Sidney Thierman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950 | |
Ryleigh Marie Etzweiler, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 000-000-0000 | |
Thomas J Krisanda, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 Phone: 410-521-5950 Fax: 410-828-6004 |