Matclinic Physicians Practice Group Llc - Medicare Mental Health Clinic in Dundalk, MD

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Matclinic Physicians Practice Group Llc is a medicare enrolled mental health clinic (Internal Medicine - Addiction Medicine) in Dundalk, Maryland. The current practice location for Matclinic Physicians Practice Group Llc is 40 S Dundalk Ave Ste 400, Dundalk, Maryland. For appointments, you can reach them via phone at (410) 220-0780. The mailing address for Matclinic Physicians Practice Group Llc is Po Box 9068, Baltimore, Maryland and phone number is (410) 220-0720.

Matclinic Physicians Practice Group Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104375294. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 220-0780.

Contact Information

Matclinic Physicians Practice Group Llc
40 S Dundalk Ave Ste 400
Dundalk
MD 21222
(410) 220-0780
(410) 862-0150

Map and Direction


Mental Health Clinic Profile

Full NameMatclinic Physicians Practice Group Llc
SpecialityInternal Medicine
Location40 S Dundalk Ave Ste 400, Dundalk, Maryland
Authorized Official Name and PositionDaniel Reck (MANAGER)
Authorized Official Contact4102200780
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matclinic Physicians Practice Group Llc
Po Box 9068
Baltimore
MD 21222-0768

Ph: (410) 220-0720		Matclinic Physicians Practice Group Llc
40 S Dundalk Ave Ste 400
Dundalk
MD 21222

Ph: (410) 220-0780

NPI Details:

NPI Number1104375294
Provider Enumeration Date09/29/2016
Last Update Date05/11/2022
Certification Date05/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3274804349
Medicare Enrollment IDO20170808001490

Medical Identifiers

Medical identifiers for Matclinic Physicians Practice Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104375294NPI-NPPES
357117300MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Primary
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Matclinic Physicians Practice Group Llc acts as a billing entity for following providers:
Provider NameJacqueline Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366702862
PECOS PAC ID: 5092740738
Enrollment ID: I20051018000142
Provider NameVanessa C Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639179104
PECOS PAC ID: 3476571381
Enrollment ID: I20051109000794
Provider NameJoshua Sang Ho Han
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154514859
PECOS PAC ID: 6002991247
Enrollment ID: I20080326000692
Provider NameLashelle Y Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629213152
PECOS PAC ID: 1355491267
Enrollment ID: I20090616000400
Provider NameJudith Foster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689800906
PECOS PAC ID: 7517019128
Enrollment ID: I20090713000389
Provider NameAlan M Geringer
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1114981065
PECOS PAC ID: 2163590621
Enrollment ID: I20090805000527
Provider NameTetyana Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285927723
PECOS PAC ID: 3173700457
Enrollment ID: I20110614000688
Provider NameEnrique I Oviedo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255534756
PECOS PAC ID: 2769644764
Enrollment ID: I20120509000422
Provider NameSalina A Sahle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699145102
PECOS PAC ID: 2860792918
Enrollment ID: I20151123000972
Provider NameCarol W Keating
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669873063
PECOS PAC ID: 6103127733
Enrollment ID: I20151223001483
Provider NameLum M Maximuangu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942540083
PECOS PAC ID: 0941597744
Enrollment ID: I20160922000349
Provider NameAugusta Akpabio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134679392
PECOS PAC ID: 3375829922
Enrollment ID: I20170413001201
Provider NameBetty Githuku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073037479
PECOS PAC ID: 9133494644
Enrollment ID: I20171010001989
Provider NameBlessing C Iwuh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093113474
PECOS PAC ID: 1658634514
Enrollment ID: I20180406001659
Provider NameBrenda L Boggs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114084977
PECOS PAC ID: 1658633508
Enrollment ID: I20180413001275
Provider NameEmmanuella Nortey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205388667
PECOS PAC ID: 4789949520
Enrollment ID: I20180529002333
Provider NameBinta Bojang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235655978
PECOS PAC ID: 8820340359
Enrollment ID: I20181011001842
Provider NameEricka Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558842930
PECOS PAC ID: 4688926991
Enrollment ID: I20181016000645
Provider NameVictoria O Ajayi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194221788
PECOS PAC ID: 6204188519
Enrollment ID: I20181016000776
Provider NameObinneamaka L Iweh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528547767
PECOS PAC ID: 6608109582
Enrollment ID: I20190607001380
Provider NameAdebola Adejuwon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174089239
PECOS PAC ID: 3779811146
Enrollment ID: I20190822002570
Provider NameSadia Cheema
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144873043
PECOS PAC ID: 5597094912
Enrollment ID: I20190911000292
Provider NameCecilia L Bibio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316504301
PECOS PAC ID: 7517399892
Enrollment ID: I20191107003005
Provider NameLaura Fe Pedone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699318493
PECOS PAC ID: 0345670790
Enrollment ID: I20200427000163
Provider NameWilliam Mangana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861018848
PECOS PAC ID: 4981927688
Enrollment ID: I20201007002996
Provider NameJumoke Fadeke Omisore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629558572
PECOS PAC ID: 6608286877
Enrollment ID: I20201029002887
Provider NameJudith Besem Akoh-arrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699336651
PECOS PAC ID: 5698930139
Enrollment ID: I20201111000292
Provider NameCathy L Stanfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255477261
PECOS PAC ID: 9032387204
Enrollment ID: I20201211001140
Provider NameNkiru Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205332814
PECOS PAC ID: 4385868884
Enrollment ID: I20201217000015
Provider NameUwaezu Mercy Kalu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558967653
PECOS PAC ID: 2860882750
Enrollment ID: I20211208002150
Provider NameLinda Nwachuku
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174287627
PECOS PAC ID: 6204227036
Enrollment ID: I20220105000377
Provider NameCicely P Locks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215528229
PECOS PAC ID: 7517359599
Enrollment ID: I20220125001887
Provider NameTracy Chanel Matthews
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801456272
PECOS PAC ID: 4880080522
Enrollment ID: I20220406001923
Provider NameSamantha Nazaroff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467975698
PECOS PAC ID: 0345507844
Enrollment ID: I20221025001873
Provider NameSarah Grove
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073016143
PECOS PAC ID: 7517222797
Enrollment ID: I20221228001860
Provider NameDanielle Nicole Anwana
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1417225053
PECOS PAC ID: 5799157830
Enrollment ID: I20230217001843
Provider NameAshley Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144870155
PECOS PAC ID: 1557692365
Enrollment ID: I20230317000312
Provider NameKelly Michele Maher
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477903714
PECOS PAC ID: 1658721188
Enrollment ID: I20231227000149
Provider NameSabrina N Richardson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407631138
PECOS PAC ID: 4880044130
Enrollment ID: I20231228001711

Reviews and Comments

Internal Medicine in Dundalk, MD

Bd Health Services, Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 3955 North Point Rd., Dundalk, MD 21222
Phone: 410-477-0744    Fax: 410-510-1123
Mindful Healing Works
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Medicare: Not Enrolled in Medicare
Practice Location: 7811 Wise Ave, Dundalk, MD 21222
Phone: 443-504-5316    
Mindful Healing Works Mental Health Group Practice
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7811 Wise Ave, Dundalk, MD 21222
Phone: 443-504-5316    
Az'uels Community Connections, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1975 Snyder Ave, Dundalk, MD 21222
Phone: 240-583-0428    
Villa Maria Behavioral Health Services Of Baltimore County - Dundalk
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222
Phone: 667-600-3681    
Mindful Healing Works Wellness Center Prp
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1576 Merritt Blvd Ste 8, Dundalk, MD 21222
Phone: 443-530-6533    Fax: 443-530-6996

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.