Eden Tsehaye Amdemichael, MD | |
3449 Wilkens Ave Ste 101, Baltimore, MD 21229-5216 | |
(667) 234-2703 | |
Not Available |
Full Name | Eden Tsehaye Amdemichael |
---|---|
Gender | Female |
Speciality | General Practice |
Experience | 16 Years |
Location | 3449 Wilkens Ave Ste 101, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659530509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R5691 (Texas) | Secondary |
208600000X | Surgery | D0089186 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meritus Medical Center | Hagerstown, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Practices Of Antietam, Llc | 2567353865 | 183 |
St. Agnes Healthcare, Inc. | 9830092733 | 220 |
Entity Name | St. Agnes Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144250176 PECOS PAC ID: 9830092733 Enrollment ID: O20040128001146 |
Entity Name | Medical Practices Of Antietam, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019 |
Mailing Address | Practice Location Address |
---|---|
Eden Tsehaye Amdemichael, MD 3449 Wilkens Ave Ste 101, Baltimore, MD 21229-5216 Ph: (667) 234-2703 | Eden Tsehaye Amdemichael, MD 3449 Wilkens Ave Ste 101, Baltimore, MD 21229-5216 Ph: (667) 234-2703 |
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 |