Larry Webster Blum, MD | |
203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 | |
(410) 553-8160 | |
(410) 553-8159 |
Full Name | Larry Webster Blum |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 43 Years |
Location | 203 Hospital Dr Ste 200, Glen Burnie, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053300962 | NPI | - | NPPES |
548571100 | Medicaid | MD | |
165767 | Other | MD | GROUP MEDICARE BWMC SURGICAL ASSOCIATES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | D37246 (Maryland) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | D37246 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Maryland Community Medical Group Inc | 3678472214 | 361 |
Entity Name | University Of Maryland Community Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
Mailing Address | Practice Location Address |
---|---|
Larry Webster Blum, MD Po Box 64584, Baltimore, MD 21264-4584 Ph: () - | Larry Webster Blum, MD 203 Hospital Dr Ste 200, Glen Burnie, MD 21061-6905 Ph: (410) 553-8160 |
Bhavana Sharma, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4000 | |
Robyn Epperson, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 30 Greenway St Nw Ste 5, Glen Burnie, MD 21061 Phone: 410-760-9079 | |
Steven Roy Daviss, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4897 Fax: 410-595-1933 | |
Dr. Madhu Sreekanth Jasti, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 203 Hospital Dr Ste 200, Glen Burnie, MD 21061 Phone: 410-553-8160 Fax: 410-553-8159 | |
Dr. Philip Bryan Dvoskin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1406b Crain Hwy S, Ste 301, Glen Burnie, MD 21061 Phone: 410-760-5588 Fax: 410-760-9727 | |
Dr. Lashire J Diegue, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-787-4490 |