| Chase Brexton Health Care | |
|
5500 Knoll North Dr Ste 370 Columbia MD 21045-2209 | |
| (410) 884-7831 | |
| (410) 715-3734 |
| Full Name | Chase Brexton Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 5500 Knoll North Dr, Columbia, Maryland |
| Authorized Official Name and Position | Kyle Easton (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 4108372050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Brexton Health Care 1111 North Charles Street Baltimore MD 21201 Ph: (410) 837-2050 | Chase Brexton Health Care 5500 Knoll North Dr Ste 370 Columbia MD 21045-2209 Ph: (410) 884-7831 |
| NPI Number | 1376589309 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 5395644835 |
|---|---|
| Medicare Enrollment ID | O20060926000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376589309 | NPI | - | NPPES |
| 132190100 | Medicaid | MD |
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