| Jewish Social Service Agency - Hospice | |
|
6123 Montrose Rd Rockville MD 20852-4860 | |
| (301) 881-3700 | |
| (301) 816-2628 |
| Full Name | Jewish Social Service Agency - Hospice |
|---|---|
| Speciality | Hospice Care, Community Based |
| Location | 6123 Montrose Rd, Rockville, Maryland |
| Authorized Official Name and Position | Lynn Ponton (DIRECTOR, PATIENT ACCOUNTS) |
| Authorized Official Contact | 3018162616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Social Service Agency - Hospice 6123 Montrose Rd Rockville MD 20852-4860 Ph: (301) 881-3700 | Jewish Social Service Agency - Hospice 6123 Montrose Rd Rockville MD 20852-4860 Ph: (301) 881-3700 |
| NPI Number | 1194832261 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Medicare PECOS PAC ID | 8123920097 |
|---|---|
| Medicare Enrollment ID | O20111121000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194832261 | NPI | - | NPPES |
| 585 | Other | MD | BCBS OF MD |
| 7800379 | Other | MD | AETNA PPO |
| 2948867 | Other | MD | AETNA HMO |
| 553235307 | Medicaid | MD | |
| 100491 | Other | MD | KAISER |
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