Dr Michael F Diffendall, OD | |
3332 Paper Mill Rd, Phoenix, MD 21131-1419 | |
(410) 628-1510 | |
(410) 628-1511 |
Full Name | Dr Michael F Diffendall |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 30 Years |
Location | 3332 Paper Mill Rd, Phoenix, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184667057 | NPI | - | NPPES |
403626300 | Medicaid | MD | |
1086642 | Other | MD | MAMSI |
67500005 | Other | DC | BLUE CROSS CAREFIRST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA1372 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
M.f. Diffendall, Od, Pa | 9335384643 | 2 |
Provider Name | M.f. Diffendall, Od, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194074476 PECOS PAC ID: 9335384643 Enrollment ID: O20130314000104 |
Provider Name | Professional Vision Of Ellicott City, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952796187 PECOS PAC ID: 4082925045 Enrollment ID: O20150617000393 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael F Diffendall, OD 3714 Tudor Arms Ave, Baltimore, MD 21211-2246 Ph: (410) 366-0165 | Dr Michael F Diffendall, OD 3332 Paper Mill Rd, Phoenix, MD 21131-1419 Ph: (410) 628-1510 |
Dr. Barry M Weiner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3421 Sweet Air Rd, Phoenix, MD 21131 Phone: 410-628-1510 Fax: 410-666-5244 | |
Jacksonville Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 | |
Jacksonville Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 |