| Charles C Reel, M.d. | |
|
30065 Business Center Dr Charlotte Hall MD 20622-3195 | |
| (301) 290-0395 | |
| (301) 290-0396 |
| Full Name | Charles C Reel, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 30065 Business Center Dr, Charlotte Hall, Maryland |
| Authorized Official Name and Position | Pamela M Ferris (OFFICE MANAGER) |
| Authorized Official Contact | 3012900395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C Reel, M.d. Po Box 290 Charlotte Hall MD 20622-0290 Ph: (301) 290-0395 | Charles C Reel, M.d. 30065 Business Center Dr Charlotte Hall MD 20622-3195 Ph: (301) 290-0395 |
| NPI Number | 1902094188 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 09/15/2021 |
| Certification Date | 08/27/2021 |
| Medicare PECOS PAC ID | 8921020280 |
|---|---|
| Medicare Enrollment ID | O20051229000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902094188 | NPI | - | NPPES |
| 04758-1500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D0044697 (Maryland) | Primary |
| Provider Name | Charles C Reel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619973773 PECOS PAC ID: 7911929278 Enrollment ID: I20120306000606 |
| Provider Name | Olivia Perrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285111880 PECOS PAC ID: 2860820966 Enrollment ID: I20200512000010 |
| Provider Name | Taylor Touch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649926742 PECOS PAC ID: 4486049392 Enrollment ID: I20220311000291 |
Pyramid Walden Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 30007 Business Center Dr, Charlotte Hall, MD 20622 Phone: 301-997-1300 Fax: 301-290-0280 | |
Walden Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30007 Business Center Dr, Charlotte Hall, MD 20622 Phone: 301-997-1300 Fax: 301-997-1321 | |
Board Of Child Care Of The United Methodist Church, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30049 Business Center Dr, Charlotte Hall, MD 20622 Phone: 301-884-0312 Fax: 301-274-4039 |