Dr Ray Gervacio Fuentes Blanco, MD | |
6569 N Charles St, Ste 401, Baltimore, MD 21204-6831 | |
(443) 849-8940 | |
Not Available |
Full Name | Dr Ray Gervacio Fuentes Blanco |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 39 Years |
Location | 6569 N Charles St, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891773966 | NPI | - | NPPES |
KG72GB/89135601 | Other | MD | CAREFIRST MARYLAND |
411454000 | Medicaid | MD | |
S1430006 | Other | MD | CAREFIRST REGIONAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | D64365 (Maryland) | Secondary |
2086X0206X | Surgery - Surgical Oncology | D64365 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Greater Baltimore Medical Center | Baltimore, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greater Baltimore Medical Center Inc | 1759276975 | 307 |
Entity Name | Greater Baltimore Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891855763 PECOS PAC ID: 1759276975 Enrollment ID: O20040217000852 |
Mailing Address | Practice Location Address |
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Dr Ray Gervacio Fuentes Blanco, MD Po Box 418953, Boston, MA 02241-8953 Ph: () - | Dr Ray Gervacio Fuentes Blanco, MD 6569 N Charles St, Ste 401, Baltimore, MD 21204-6831 Ph: (443) 849-8940 |
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 |