Kevin Lawrence Laser, MD | |
512 Benforest Dr, Severna Park, MD 21146-1735 | |
(410) 544-7611 | |
(410) 544-5179 |
Full Name | Kevin Lawrence Laser |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 512 Benforest Dr, 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 |
---|---|---|---|
1881689099 | NPI | - | NPPES |
15-00070 | Other | EVERCARE | |
52471105 | Other | MD | CAREFIRST BCBS |
K749 | Other | DC | BCBS NATIONAL, FEP, BLUECHOICE |
751621500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | D35560 (Maryland) | Primary |
Entity Name | Windrush Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124404421 PECOS PAC ID: 5890002224 Enrollment ID: O20150922001133 |
Mailing Address | Practice Location Address |
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Kevin Lawrence Laser, MD 512 Benforest Dr, Severna Park, MD 21146-1735 Ph: (410) 544-7611 | Kevin Lawrence Laser, MD 512 Benforest Dr, Severna Park, MD 21146-1735 Ph: (410) 544-7611 |
Clifford George Andrew, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 645 Baltimore Annapolis Blvd, Suite 105, Severna Park, MD 21146 Phone: 410-647-5000 Fax: 419-647-5010 | |
Dr. Susan Helen Busse Siegel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 819 Ritchie Hwy, Suite 2001, Severna Park, MD 21146 Phone: 410-544-2835 Fax: 410-647-0013 | |
Dr. Kenneth Eugene Fligsten, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 507 West Dr, Severna Park, MD 21146 Phone: 410-647-4403 | |
Christina Bowman, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 877 Baltimore Annapolis Blvd Ste 202, Severna Park, MD 21146 Phone: 410-684-3806 | |
Dr. Mary C Deckelman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 452 Maryleborn Rd, Severna Park, MD 21146 Phone: 216-533-1713 |