| Chesapeake Neurology Services, P.a. | |
|
111 W High St Suite 107 Elkton MD 21921-5529 | |
| (410) 392-7044 | |
| (410) 620-0055 |
| Full Name | Chesapeake Neurology Services, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 111 W High St, Elkton, Maryland |
| Authorized Official Name and Position | Paul Melnick (PHYSICIAN) |
| Authorized Official Contact | 4103927044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Neurology Services, P.a. 1602 Newport Gap Pike Wilmington DE 19808-6208 Ph: (302) 633-5840 | Chesapeake Neurology Services, P.a. 111 W High St Suite 107 Elkton MD 21921-5529 Ph: (410) 392-7044 |
| NPI Number | 1679528038 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Medicare PECOS PAC ID | 1052388121 |
|---|---|
| Medicare Enrollment ID | O20040916000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679528038 | NPI | - | NPPES |
| 1000021421 | Medicaid | DE | |
| # 1M53CH | Other | MD | CAREFIRST GROUP NUMBER |
| DA4922 | Other | MD | MEDICARE RR |
| 406618900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Paul A Melnick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295792661 PECOS PAC ID: 2264446269 Enrollment ID: I20100514000848 |
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