| Mid Maryland Neurology, Pa | |
|
172 Thomas Johnson Dr 202 Frederick MD 21702-4402 | |
| (301) 698-8300 | |
| (301) 698-8389 |
| Full Name | Mid Maryland Neurology, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 172 Thomas Johnson Dr, Frederick, Maryland |
| Authorized Official Name and Position | Richard T Leschek (OWNER) |
| Authorized Official Contact | 3016988300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Maryland Neurology, Pa 172 Thomas Johnson Dr 202 Frederick MD 21702-4402 Ph: (301) 698-8300 | Mid Maryland Neurology, Pa 172 Thomas Johnson Dr 202 Frederick MD 21702-4402 Ph: (301) 698-8300 |
| NPI Number | 1912180258 |
|---|---|
| Provider Enumeration Date | 12/10/2007 |
| Last Update Date | 04/16/2010 |
| Medicare PECOS PAC ID | 8729154562 |
|---|---|
| Medicare Enrollment ID | O20080903000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912180258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Richard T Leschek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164429429 PECOS PAC ID: 1355417197 Enrollment ID: I20110314000360 |
| Provider Name | Boyd A Dwyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134123615 PECOS PAC ID: 0446326284 Enrollment ID: I20120209000398 |
Carol Van Doorn, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 209 Center St, Frederick, MD 21701 Phone: 301-351-7421 | |
Occupational Therapy Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 E South St, Suite 01-a, Frederick, MD 21701 Phone: 240-457-9558 Fax: 240-415-9200 | |
Maryland Center For Gender & Intimacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W Patrick St, Frederick, MD 21701 Phone: 301-360-4349 | |
Family Care Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3508 Worthington Blvd Unit 101, Frederick, MD 21704 Phone: 301-330-0006 | |
Lifespan Behavioral Health Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 W 7th St Ste 200, Frederick, MD 21701 Phone: 301-245-6300 | |
Bls Diagnostics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8435 Progress Dr Ste Ee, Frederick, MD 21701 Phone: 866-526-8088 | |
Peaceful Mind Healing Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5301 Buckeystown Pike Ste 440, Frederick, MD 21704 Phone: 240-651-3890 Fax: 240-815-6015 |