Michelle Elaine Melicosta, MD | |
707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | |
(443) 923-9446 | |
(443) 923-9445 |
Full Name | Michelle Elaine Melicosta |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 707 N Broadway, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558320010 | NPI | - | NPPES |
970774 | Medicaid | AZ | |
79426778 | Medicaid | NM | |
541054100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 153384 (Massachusetts) | Secondary |
208000000X | Pediatrics | D0078581 (Maryland) | Primary |
Entity Name | Kennedy Krieger Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871515783 PECOS PAC ID: 1759280597 Enrollment ID: O20031231000300 |
Entity Name | Johns Hopkins Emergency Medical |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922098466 PECOS PAC ID: 3577546753 Enrollment ID: O20040609000834 |
Mailing Address | Practice Location Address |
---|---|
Michelle Elaine Melicosta, MD 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 Ph: (443) 923-9446 | Michelle Elaine Melicosta, MD 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 Ph: (443) 923-9446 |
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 |