| Channel Marker, Inc. | |
|
8865 Glebe Park Dr Unit 1 Easton MD 21601-7003 | |
| (410) 822-4619 | |
| (410) 822-0984 |
| Full Name | Channel Marker, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 8865 Glebe Park Dr, Easton, Maryland |
| Authorized Official Name and Position | Catherine Cassell (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4108224619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Channel Marker, Inc. 8865 Glebe Park Dr Unit 1 Easton MD 21601-7003 Ph: (410) 822-4619 | Channel Marker, Inc. 8865 Glebe Park Dr Unit 1 Easton MD 21601-7003 Ph: (410) 822-4619 |
| NPI Number | 1164639209 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/28/2018 |
| Medicare PECOS PAC ID | 0143475509 |
|---|---|
| Medicare Enrollment ID | O20130311000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164639209 | NPI | - | NPPES |
| 3685021 00 | Medicaid | MD | |
| 3685021 02 | Medicaid | MD |
| Provider Name | Meera Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407952302 PECOS PAC ID: 3971569062 Enrollment ID: I20060119000342 |
| Provider Name | Sandra K Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164622254 PECOS PAC ID: 8426107582 Enrollment ID: I20090519000650 |
| Provider Name | Martin W Cassell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982963211 PECOS PAC ID: 6608021092 Enrollment ID: I20130311000342 |
| Provider Name | Coleen R Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881016426 PECOS PAC ID: 6406115799 Enrollment ID: I20180112000129 |
| Provider Name | Alexa L Burley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851905491 PECOS PAC ID: 0749690444 Enrollment ID: I20201109002374 |
| Provider Name | Erin Walsh Hebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457503641 PECOS PAC ID: 4183785959 Enrollment ID: I20211130000998 |
| Provider Name | Megan Lewis Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174096069 PECOS PAC ID: 9739558677 Enrollment ID: I20221215000441 |
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