Percival Carlos Hargrove, PA is a
Family Medicine based in Jb Andrews, Maryland. Percival Carlos Hargrove is licensed to practice in Maryland (license number C0005080) and his current practice location is
1060 W Perimeter Rd, Jb Andrews, Maryland. He can be reached at his office (for appointments etc.) via phone at
(240) 612-1856.
NPI number for Percival Carlos Hargrove is 1770560450 and his current mailing address is 13309 Whitaker Park Dr, Brandywine, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770560450.
Provider's Profile
Full Name | Percival Carlos Hargrove |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770560450
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 05/08/2024
Medical Identifiers
Medical identifiers for Percival Carlos Hargrove such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770560450 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | C0005080 (Maryland) | Secondary |
207Q00000X | Family Medicine | C0005080 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Percival Carlos Hargrove is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Percival Carlos Hargrove, PA 13309 Whitaker Park Dr, Brandywine, MD 20613-5688 Ph: (302) 331-7277 | Percival Carlos Hargrove, PA 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 612-1856 |
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