Michael C Slack, MD | |
22 S Greene St, N5w70c, Baltimore, MD 21201-1544 | |
(410) 328-2427 | |
(443) 462-3137 |
Full Name | Michael C Slack |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 41 Years |
Location | 22 S Greene St, Baltimore, 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 |
---|---|---|---|
1588758940 | NPI | - | NPPES |
028095100 | Medicaid | DC | |
202009201 | Medicaid | MD | |
0614 | Other | DC | CAREFIRST |
202009200 | Medicaid | MD | |
6731538 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | MD31860 (District Of Columbia) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | D55380 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Maryland Medical Center | Baltimore, MD | Hospital |
Medstar Washington Hospital Center | Washington, DC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Heart Institute Llc | 5698932960 | 260 |
University Of Maryland Pediatric Associates, Pa | 6800888678 | 28 |
University Of Maryland Pediatric Associates, Pa | 6800888678 | 28 |
Entity Name | Medstar Heart Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528345378 PECOS PAC ID: 5698932960 Enrollment ID: O20120130000515 |
Entity Name | University Of Maryland Pediatric Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528163912 PECOS PAC ID: 6800888678 Enrollment ID: O20160316002357 |
Mailing Address | Practice Location Address |
---|---|
Michael C Slack, MD Po Box 62063, Baltimore, MD 21264-2063 Ph: (410) 706-5181 | Michael C Slack, MD 22 S Greene St, N5w70c, Baltimore, MD 21201-1544 Ph: (410) 328-2427 |
Hilary Tamara Wolf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-7373 Fax: 410-328-7305 | |
Dr. Carmel Bogle, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 443-287-0526 Fax: 410-955-0897 | |
Anna Eunjoo Choe, Pediatrics Medicare: Medicare Enrolled Practice Location: 615 N Wolfe St Rm Wb602, Baltimore, MD 21205 Phone: 410-955-3362 Fax: 410-614-1582 | |
Dr. Melissa Lauren Shapiro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2411 W Belvedere Ave Ste 407, Baltimore, MD 21215 Phone: 410-601-8663 | |
Dr. Alexander James Jaksic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 781-223-0948 | |
Adam J Spanier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Armory Pl, Baltimore, MD 21201 Phone: 410-225-8780 Fax: 410-225-8766 | |
Milagritos D Tapia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6749 Fax: 410-328-6136 |