Karen Gayle Ganacias, MD | |
692a Ritchie Hwy, Severna Park, MD 21146-3971 | |
(410) 721-2273 | |
Not Available |
Full Name | Karen Gayle Ganacias |
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Gender | Female |
Speciality | Pediatrics |
Location | 692a Ritchie Hwy, Severna Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174834865 | NPI | - | NPPES |
PENDING | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | D86067 (Maryland) | Primary |
Entity Name | Mgmc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
Entity Name | Guh-kids Mobile Medical Clinic Program Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194374710 PECOS PAC ID: 8426389990 Enrollment ID: O20191015000258 |
Mailing Address | Practice Location Address |
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Karen Gayle Ganacias, MD 1600 Granby St Apt 456, Norfolk, VA 23510-2661 Ph: (913) 683-5707 | Karen Gayle Ganacias, MD 692a Ritchie Hwy, Severna Park, MD 21146-3971 Ph: (410) 721-2273 |
Mrs. Jacalyn Gordon Ginsberg, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21176 Phone: 410-647-8306 Fax: 410-315-8444 | |
Faith Alice Hackett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21146 Phone: 410-647-8300 Fax: 410-315-8444 | |
Dr. Robert G. Gibson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy # A, Severna Park, MD 21146 Phone: 441-054-4514 |