| Gina Exantus-bernard, | |
|
400 Byrn St Ste A, Cambridge, MD 21613 | |
| (410) 228-6161 | |
| Not Available |
| Full Name | Gina Exantus-bernard |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 400 Byrn St Ste A, Cambridge, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053624452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D78378 (Maryland) | Primary |
| Entity Name | University of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Exantus-bernard, 920 Elkridge Landing Rd, Linthicum, MD 21090-2917 Ph: (443) 462-5010 | Gina Exantus-bernard, 400 Byrn St Ste A, Cambridge, MD 21613 Ph: (410) 228-6161 |
Ahmed Abdel-gawad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Byrn St Suite A, Cambridge, MD 21613 Phone: 410-228-6161 Fax: 410-228-8396 |
Dr. Leigh Anne Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 531 Poplar St, Cambridge, MD 21613 Phone: 410-901-2326 Fax: 410-901-2390 |