Holly Marie Rataiczak, DO | |
75 Thomas Johnson Dr, Frederick, MD 21702-4895 | |
(240) 215-6310 | |
Not Available |
Full Name | Holly Marie Rataiczak |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Location | 75 Thomas Johnson Dr, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205275971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0102204164 (Virginia) | Secondary |
207Y00000X | Otolaryngology | H95181 (Maryland) | Primary |
Entity Name | Frederick Health Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555 |
Mailing Address | Practice Location Address |
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Holly Marie Rataiczak, DO 400 W 7th St, Frederick, MD 21701-4506 Ph: (240) 215-6310 | Holly Marie Rataiczak, DO 75 Thomas Johnson Dr, Frederick, MD 21702-4895 Ph: (240) 215-6310 |
Michael R Morris, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 75 Thomas Johnson Dr, Suite B, Frederick, MD 21702 Phone: 301-695-3100 Fax: 301-695-7403 | |
Dr. Gerald M Reed, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 163 Thomas Johnson Drive, Suite H, Frederick, MD 21702 Phone: 301-694-9111 Fax: 301-739-0402 | |
Dr. Wayne Anthony Cardoni, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 301-663-9573 | |
Everett T. Hart, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 75 Thomas Johnson Dr, Ste B, Frederick, MD 21702 Phone: 301-695-3100 | |
Dr. George Lee Coppit Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 301-663-9573 | |
Dr. James Phillip Oberman, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-575-2526 |