Dr Pamela Lewis Matia, MD | |
1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | |
(410) 737-5450 | |
(410) 737-5451 |
Full Name | Dr Pamela Lewis Matia |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639125289 | NPI | - | NPPES |
651103100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | D0053734 (Maryland) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1578638425 PECOS PAC ID: 3779495858 Enrollment ID: O20040805001280 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1073678637 PECOS PAC ID: 3779495858 Enrollment ID: O20100729000796 |
Entity Name | Tlc Perinatal Richard Broth Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992007827 PECOS PAC ID: 9537332234 Enrollment ID: O20111025000232 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1366781700 PECOS PAC ID: 3779495858 Enrollment ID: O20130507000207 |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1497023188 PECOS PAC ID: 3779495858 Enrollment ID: O20131029000108 |
Mailing Address | Practice Location Address |
---|---|
Dr Pamela Lewis Matia, MD 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (410) 737-5450 | Dr Pamela Lewis Matia, MD 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (410) 737-5450 |
Dr. Cicely Monique Pickett, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1701 Twin Springs Rd, Halethorpe, MD 21227 Phone: 800-777-7904 |