William R Herzog Jr, MD | |
10710 Charter Dr, Suite 400, Columbia, MD 21044-2858 | |
(410) 997-7979 | |
(410) 997-9231 |
Full Name | William R Herzog Jr |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 42 Years |
Location | 10710 Charter Dr, Columbia, 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 |
---|---|---|---|
1902873979 | NPI | - | NPPES |
P00963606 | Other | MD | RAILROAD MEDICARE |
0061936 | Other | MD | AETNA |
523202-06 | Other | MD | CAREFIRST OF MARYLAND |
V879-0001 | Other | MD | CAREFIRST GHMSI AND BLUE CHOICE |
543951500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | D41959 (Maryland) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | D41959 (Maryland) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southeastern Regional Medical Center | Lumberton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Regional Physician Services | 7012058548 | 31 |
Entity Name | Southeastern Regional Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427282045 PECOS PAC ID: 7012058548 Enrollment ID: O20100106000556 |
Mailing Address | Practice Location Address |
---|---|
William R Herzog Jr, MD 10710 Charter Dr, Suite 400, Columbia, MD 21044-2858 Ph: (410) 997-7979 | William R Herzog Jr, MD 10710 Charter Dr, Suite 400, Columbia, MD 21044-2858 Ph: (410) 997-7979 |
Dr. Jon Kent Minford, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Dr. Jacob Cherian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Columbia, MD 21045 Phone: 410-964-5311 Fax: 410-964-8578 | |
Dr. Tejaswi Rajasekhara Sastry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite G020, Columbia, MD 21044 Phone: 410-964-2212 Fax: 410-964-0380 | |
Michael Howard Kelemen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5450 Knoll North Dr, Suite 200b, Columbia, MD 21045 Phone: 410-964-5303 | |
Dr. Tin O Maung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5999 Harpers Farm Rd, Suite W250, Columbia, MD 21044 Phone: 410-772-8822 Fax: 410-772-9274 | |
Dr. Jeffery Wayne Van Den Broek, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Suite 110, Columbia, MD 21044 Phone: 410-992-9797 Fax: 410-730-0942 | |
Angela M. Kopack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11055 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-884-1311 Fax: 410-884-6033 |