| Parker Place | |
|
116 Defense Hwy Ste 403 Annapolis MD 21401-7020 | |
| (410) 844-8998 | |
| (866) 251-7548 |
| Full Name | Parker Place |
|---|---|
| Speciality | Pediatrics |
| Location | 116 Defense Hwy Ste 403, Annapolis, Maryland |
| Authorized Official Name and Position | Elizabeth A. Parker (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4108448998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parker Place 116 Defense Hwy Ste 403 Annapolis MD 21401-7020 Ph: (410) 844-8998 | Parker Place 116 Defense Hwy Ste 403 Annapolis MD 21401-7020 Ph: (410) 844-8998 |
| NPI Number | 1063920197 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 3971864745 |
|---|---|
| Medicare Enrollment ID | O20180220000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063920197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | (Maryland) | Primary |
| Provider Name | Elizabeth A Parker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437245040 PECOS PAC ID: 1850393174 Enrollment ID: I20140613001126 |
| Provider Name | Alicia A Bell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376937060 PECOS PAC ID: 1658778964 Enrollment ID: I20210928003462 |
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