Dr Philip R Militello, MD | |
22 S Greene St, Baltimore, MD 21201-1544 | |
(410) 328-6704 | |
(410) 328-4124 |
Full Name | Dr Philip R Militello |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 22 S Greene St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891737383 | NPI | - | NPPES |
154071800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D18667 (Maryland) | Primary |
Entity Name | Shock Trauma Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976 |
Mailing Address | Practice Location Address |
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Dr Philip R Militello, MD Po Box 64793, Baltimore, MD 21264-4793 Ph: (410) 328-6704 | Dr Philip R Militello, MD 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-6704 |
Dr. Sabrina Christine Sopha, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3580 | |
Dr. Samantha A Wolfe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-2370 Fax: 410-955-0035 | |
Dr. Evan Wong, MD, MPH, FRCSC Surgery Medicare: Medicare Enrolled Practice Location: 1800 Orleans St Ste 6107, Baltimore, MD 21287 Phone: 410-955-2244 | |
Georgios Antonios Margonis, MD, PHD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 Orleans Street - Tower 110, Baltimore, MD 21287 Phone: 443-440-1103 | |
Bruce Robert Gibson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0100 | |
Kenzo Hirose, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6190 | |
Josue Alvarez Casas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 29 S Greene St Ste 200, Baltimore, MD 21201 Phone: 410-328-5408 |