Richard L Gough, MD | |
19 W Frederick St, Walkersville, MD 21793-8230 | |
(301) 845-6336 | |
(240) 578-4478 |
Full Name | Richard L Gough |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 19 W Frederick St, Walkersville, 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 |
---|---|---|---|
1346223955 | NPI | - | NPPES |
926580505 | Medicaid | MD | |
926580506 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0032171 (Maryland) | Primary |
207QG0300X | Family Medicine - Geriatric Medicine | D0032171 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Frederick Health Hospital, Inc | Frederick, MD | Home health agency |
Frederick Health Hospital | Frederick, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Care Center Llc | 3274801139 | 215 |
Amber Hill Physical Therapy Inc | 8527963917 | 68 |
Entity Name | Frederick Primary Care Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689658890 PECOS PAC ID: 9436045648 Enrollment ID: O20040225000299 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Entity Name | Privia Care Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055 |
Mailing Address | Practice Location Address |
---|---|
Richard L Gough, MD 610 Solarex Ct, Frederick, MD 21703-8624 Ph: () - | Richard L Gough, MD 19 W Frederick St, Walkersville, MD 21793-8230 Ph: (301) 845-6336 |
Virginia C Wiley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 W Frederick St, Walkersville, MD 21793 Phone: 301-845-6336 Fax: 240-578-4478 | |
Dr. Andrew Zarick Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9502 Highlander Cir, Walkersville, MD 21793 Phone: 484-554-0580 | |
John A Shutta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 E Frederick St, Walkersville, MD 21793 Phone: 301-898-5200 Fax: 301-898-5230 | |
Rohan Moffatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 E Frederick St, Walkersville, MD 21793 Phone: 301-898-5200 |