| Annapolis Family Medicine Llc | |
|
104 Ridgely Ave Suite 302 Annapolis MD 21401-1439 | |
| (410) 280-9500 | |
| (443) 214-5168 |
| Full Name | Annapolis Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Ridgely Ave, Annapolis, Maryland |
| Authorized Official Name and Position | William A Dabbs (OWNER) |
| Authorized Official Contact | 4102809500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annapolis Family Medicine Llc 104 Ridgely Ave Suite 302 Annapolis MD 21401-1439 Ph: (410) 280-9500 | Annapolis Family Medicine Llc 104 Ridgely Ave Suite 302 Annapolis MD 21401-1439 Ph: (410) 280-9500 |
| NPI Number | 1548601883 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 02/06/2014 |
| Medicare PECOS PAC ID | 7416186838 |
|---|---|
| Medicare Enrollment ID | O20140206000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548601883 | NPI | - | NPPES |
| 1326049040 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D24768 (Maryland) | Primary |
| Provider Name | Elaine M Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649385444 PECOS PAC ID: 5890734511 Enrollment ID: I20050502000559 |
| Provider Name | Eileen L Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710057427 PECOS PAC ID: 4082697164 Enrollment ID: I20071212000681 |
| Provider Name | William A Dabbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326049040 PECOS PAC ID: 1254465446 Enrollment ID: I20100810000136 |
| Provider Name | Kastle F Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174811897 PECOS PAC ID: 3072784495 Enrollment ID: I20110915000382 |
| Provider Name | Amy M Ricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740557677 PECOS PAC ID: 3072776400 Enrollment ID: I20120523000249 |
| Provider Name | Anne K Platt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871090704 PECOS PAC ID: 9830444264 Enrollment ID: I20180626001363 |
| Provider Name | Catherine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881185270 PECOS PAC ID: 6305180050 Enrollment ID: I20181206001020 |
| Provider Name | Tina M Hinchman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205527702 PECOS PAC ID: 7012364896 Enrollment ID: I20231116000502 |
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