Qler Physician Medical Group, P.a. | |
4431 Adrienne Ct Jefferson MD 21755 | |
(240) 285-5396 | |
Not Available |
Full Name | Qler Physician Medical Group, P.a. |
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Speciality | Psychiatry & Neurology |
Location | 4431 Adrienne Ct, Jefferson, Maryland |
Authorized Official Name and Position | Dwayne Avanish Narayan (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 2402855396 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Qler Physician Medical Group, P.a. 200 W Martin Luther King Blvd Chattanooga TN 37402-2560 Ph: (240) 285-5396 | Qler Physician Medical Group, P.a. 4431 Adrienne Ct Jefferson MD 21755 Ph: (240) 285-5396 |
NPI Number | 1841712254 |
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Provider Enumeration Date | 07/07/2017 |
Last Update Date | 06/30/2022 |
Certification Date | 06/30/2022 |
Medicare PECOS PAC ID | 2668728387 |
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Medicare Enrollment ID | O20221003000706 |
Identifier | Type | State | Issuer |
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1841712254 | NPI | - | NPPES |
Provider Name | Thomas Lavie |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972690006 PECOS PAC ID: 5698783876 Enrollment ID: I20060329000699 |
Provider Name | Gregory Renck |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20190807003973 |
Provider Name | Dwayne Narayan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200901002977 |
Provider Name | Ernest Spiotto |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20211203002233 |
Provider Name | Brian P Quigley |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20220217002533 |
Provider Name | Dustin J Plowman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20230105001073 |
Provider Name | Barbara Huynh |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407048002 PECOS PAC ID: 9032351697 Enrollment ID: I20230124001858 |
Breakthrough Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4014j Mountville Rd Unit A, Jefferson, MD 21755 Phone: 240-215-6434 | |
Jefferson School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Point Of Rocks Road, Jefferson, MD 21755 Phone: 301-629-8400 Fax: 301-629-8404 |