Dr Phillip H Omohundro, MD is a medicare enrolled "Orthopaedic Surgery" physician in Glenn Dale, Maryland. He went to Howard University College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Centers For Advanced Orthopaedics Llc and his current practice location is
12200 Annapolis Rd Ste 123, Glenn Dale, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 364-9292.
Dr Phillip H Omohundro is licensed to practice in Maryland (license number D25458) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871553594.
Physician's Profile
Full Name | Dr Phillip H Omohundro |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 44 Years |
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Location | 12200 Annapolis Rd Ste 123, Glenn Dale, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Phillip H Omohundro attended and graduated from Howard University College Of Medicine in 1980
NPI Data:
- NPI Number: 1871553594
- Provider Enumeration Date: 03/25/2006
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901877182
- Enrollment ID: I20040802001458
Medical Identifiers
Medical identifiers for Dr Phillip H Omohundro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871553594 | NPI | - | NPPES |
0150330001 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD13399 (District Of Columbia) | Secondary |
207X00000X | Orthopaedic Surgery | D25458 (Maryland) | Primary |
207XX0005X | Orthopaedic Surgery - Sports Medicine | D0025458 (Maryland) | Secondary |
207X00000X | Orthopaedic Surgery | MD13399 (District Of Columbia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Centers For Advanced Orthopaedics Llc | 8123260981 | 506 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Phillip H Omohundro allows following entities to bill medicare on his behalf.
Entity Name | Centers For Advanced Orthopaedics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487093167 PECOS PAC ID: 8123260981 Enrollment ID: O20131024001780 |
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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 Phillip H Omohundro is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Phillip H Omohundro, MD 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769-9182 Ph: (301) 364-9292 | Dr Phillip H Omohundro, MD 12200 Annapolis Rd Ste 123, Glenn Dale, MD 20769-9182 Ph: (301) 364-9292 |
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