| Quickmd Medical Group Pa | |
|
2019 Haverford Dr Crownsville MD 21032-2222 | |
| (888) 878-4256 | |
| Not Available |
| Full Name | Quickmd Medical Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2019 Haverford Dr, Crownsville, Maryland |
| Authorized Official Name and Position | Katrina Merritt (SENIOR MANAGER, CREDENTIALING) |
| Authorized Official Contact | 8135965726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quickmd Medical Group Pa 3865 Holcomb Bridge Rd Peachtree Corners GA 30092-2205 Ph: () - | Quickmd Medical Group Pa 2019 Haverford Dr Crownsville MD 21032-2222 Ph: (888) 878-4256 |
| NPI Number | 1114647633 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 2961898648 |
|---|---|
| Medicare Enrollment ID | O20220920000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114647633 | NPI | - | NPPES |
| Provider Name | Robert J Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063425320 PECOS PAC ID: 0042585044 Enrollment ID: I20180301002401 |
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