Irina Konstantinovna Baum, NP | |
3893 Fortress Ct, Hampstead, MD 21074-1790 | |
(240) 593-2301 | |
Not Available |
Full Name | Irina Konstantinovna Baum |
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Gender | Female |
Speciality | Family Medicine - Adult Medicine |
Location | 3893 Fortress Ct, Hampstead, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093354920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | R211137 (Maryland) | Secondary |
207QA0505X | Family Medicine - Adult Medicine | R211137 (Maryland) | Primary |
Entity Name | Ethos Health Maryland 1, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144888025 PECOS PAC ID: 6608102041 Enrollment ID: O20190724000086 |
Entity Name | Ethos Health Maryland 4, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912542192 PECOS PAC ID: 6204259575 Enrollment ID: O20200702001916 |
Mailing Address | Practice Location Address |
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Irina Konstantinovna Baum, NP 3893 Fortress Ct, Hampstead, MD 21074-1790 Ph: () - | Irina Konstantinovna Baum, NP 3893 Fortress Ct, Hampstead, MD 21074-1790 Ph: (240) 593-2301 |
Dr. Michael Gale Eyer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4231 N Woods Trl Ste 100, Hampstead, MD 21074 Phone: 410-374-0675 Fax: 410-871-7967 | |
Peter G Uggowitzer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 814 Houcksville Rd, Hampstead, MD 21074 Phone: 410-239-0406 Fax: 410-239-0407 | |
Rebecca A Goedeke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4231 Northwoods Trail, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-871-7967 | |
Barbara Ann Ball, PA C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4231 North Woods Trail, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-871-7967 | |
Linda J Olding, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4231 Northwoods Trail, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 | |
Domingo A Rocha, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4231 Northwoods Trail, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 |