Glenn A Jockle, MD | |
345 St. Paul Place, 7th Floor, Department Of Pathology, Baltimore, MD 21202-2102 | |
(410) 332-6882 | |
(410) 234-2558 |
Full Name | Glenn A Jockle |
---|---|
Gender | Male |
Speciality | Pathology - Clinical Pathology/laboratory Medicine |
Location | 345 St. Paul Place, 7th Floor, 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 |
---|---|---|---|
1548202989 | NPI | - | NPPES |
S185 / 0015 | Other | MD | BLUECHOICE |
429581100 | Medicaid | MD | |
S797 / 600433-01 | Other | MD | BC / BS OF MD |
KU59ST / 600433-01 | Other | MD | BC / BS OF MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | D0026956 (Maryland) | Primary |
Entity Name | St Paul Place Specialists, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871549196 PECOS PAC ID: 7719882943 Enrollment ID: O20031202000084 |
Mailing Address | Practice Location Address |
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Glenn A Jockle, MD 301 St. Paul Place, Medical Staff Office, Baltimore, MD 21202-2102 Ph: () - | Glenn A Jockle, MD 345 St. Paul Place, 7th Floor, Department Of Pathology, Baltimore, MD 21202-2102 Ph: (410) 332-6882 |
Serena Maria Bagnasco, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-955-2660 | |
Dr. Adeboye Oluwaseyi Osunkoya, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 N Broadway, Johns Hopkins Pathology , Weinberg Room 2242, Baltimore, MD 21231 Phone: 405-808-5361 | |
Michael T. O'malley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-644-4379 Fax: 410-644-4325 | |
Michael Edward Kallen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 N Broadway St, Baltimore, MD 21287 Phone: 410-955-3580 Fax: 410-614-1287 | |
Deyin Xing, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 North Broadway, Weinberg 2268, Baltimore, MD 21231 Phone: 410-955-3580 Fax: 410-614-1287 | |
Matthew Grant Gabrielson, Pathology Medicare: Medicare Enrolled Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-3980 | |
Robert A. Palermo, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 6701 N Charles St, Baltimore, MD 21204 Phone: 443-849-2257 Fax: 443-849-3016 |