| Absolutecare Of Baltimore, Llc | |
|
1040 Park Ave Suite 200 Baltimore MD 21201 | |
| (443) 738-0300 | |
| (443) 738-0301 |
| Full Name | Absolutecare Of Baltimore, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1040 Park Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Gregory P Foti (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 4437380225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolutecare Of Baltimore, Llc 10175 Little Patuxent Pkwy Ste 800 Columbia MD 21044-3401 Ph: () - | Absolutecare Of Baltimore, Llc 1040 Park Ave Suite 200 Baltimore MD 21201 Ph: (443) 738-0300 |
| NPI Number | 1508295726 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 3375560394 |
|---|---|
| Medicare Enrollment ID | O20150514001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508295726 | NPI | - | NPPES |
| 780015100 | Medicaid | MD | |
| 01938969 | Other | MD | AMERIGROUP MCO |
| 780015101 | Medicaid | MD |
| Provider Name | Charles A Bergman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962468306 PECOS PAC ID: 9234113564 Enrollment ID: I20040615000985 |
| Provider Name | Thomas L Edmondson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659340230 PECOS PAC ID: 0345291654 Enrollment ID: I20050203000681 |
| Provider Name | Elizabeth R Disney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770505331 PECOS PAC ID: 0840222121 Enrollment ID: I20050907001038 |
| Provider Name | Catherine N Maslen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861435604 PECOS PAC ID: 5294862868 Enrollment ID: I20100430000164 |
| Provider Name | Vishal I Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225251440 PECOS PAC ID: 9931395779 Enrollment ID: I20101119000102 |
| Provider Name | Karen M Hillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174698815 PECOS PAC ID: 2668401548 Enrollment ID: I20111215000418 |
| Provider Name | Kathryn Kline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699074005 PECOS PAC ID: 5193974400 Enrollment ID: I20141106001442 |
| Provider Name | Gregory Patrick Foti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588855795 PECOS PAC ID: 2365535150 Enrollment ID: I20150820012257 |
| Provider Name | Kelli Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386022721 PECOS PAC ID: 5294039590 Enrollment ID: I20160208000191 |
| Provider Name | Elizabeth L Brolund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295197176 PECOS PAC ID: 6709185721 Enrollment ID: I20160426001275 |
| Provider Name | Mary Haber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528431020 PECOS PAC ID: 7315235165 Enrollment ID: I20161011000197 |
| Provider Name | Meredith Elyse Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073914404 PECOS PAC ID: 5991000564 Enrollment ID: I20180614000661 |
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