Samantha Vogt, DNP | |
208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 | |
(410) 420-9836 | |
Not Available |
Full Name | Samantha Vogt |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 208 Plumtree Rd Ste C, Bel Air, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720716046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | SP029392 (Pennsylvania) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | R215207 (Maryland) | Primary |
Entity Name | Upper Chesapeake Primary Care,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093902793 PECOS PAC ID: 3476637737 Enrollment ID: O20080225000747 |
Mailing Address | Practice Location Address |
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Samantha Vogt, DNP 150 Ridge Rd, Fawn Grove, MD 17321-2820 Ph: (570) 855-4940 | Samantha Vogt, DNP 208 Plumtree Rd Ste C, Bel Air, MD 21015-6058 Ph: (410) 420-9836 |
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