Harold I Genvert, MD | |
1342 South Division Street, Unit 401, Salisbury, MD 21084 | |
(410) 546-2133 | |
(410) 548-3361 |
Full Name | Harold I Genvert |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1342 South Division Street, Salisbury, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891756748 | NPI | - | NPPES |
444681000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | D34976 (Maryland) | Primary |
Entity Name | Chesapeake Urology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043719123 PECOS PAC ID: 4789673393 Enrollment ID: O20180516000311 |
Mailing Address | Practice Location Address |
---|---|
Harold I Genvert, MD 1342 South Division Street, Unit 401, Salisbury, MD 21084 Ph: (410) 546-2133 | Harold I Genvert, MD 1342 South Division Street, Unit 401, Salisbury, MD 21084 Ph: (410) 546-2133 |
Dr. Alyssa Kay Gracely, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1111 Mount Hermon Rd, Salisbury, MD 21804 Phone: 866-953-3111 | |
Mark T Edney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1342 South Division Street, Unit 401 Peninsula Urology Associates Pa, Salisbury, MD 21084 Phone: 410-546-2133 Fax: 210-548-3361 | |
Thomas M Demarco, MD Urology Medicare: Medicare Enrolled Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7252 |