Joanne Kimberlee Hodges, MD | |
251 N 4th St, Oakland, MD 21550 | |
(301) 533-4000 | |
(301) 533-4208 |
Full Name | Joanne Kimberlee Hodges |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 251 N 4th St, Oakland, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083647267 | NPI | - | NPPES |
1083647267 | Medicaid | WV | |
472003200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | D85274 (Maryland) | Primary |
Entity Name | City Medical Of Upper East Side Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052 |
Mailing Address | Practice Location Address |
---|---|
Joanne Kimberlee Hodges, MD Po Box 597, Oakland, MD 21550-4597 Ph: (301) 533-4000 | Joanne Kimberlee Hodges, MD 251 N 4th St, Oakland, MD 21550 Ph: (301) 533-4000 |
Robert Michael Coughlin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4190 Fax: 301-533-4208 | |
Richard Grover Perry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 233 E Alder St Ste A, Oakland, MD 21550 Phone: 301-616-6042 | |
Mark Thomas Domenick, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 251 N Fourth Street, Oakland, MD 21550 Phone: 301-533-4190 Fax: 301-533-4208 | |
Dr. Somi Rikhye, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4190 Fax: 301-533-4186 |