Baltimore Ketamine Clinic Eastern Shore in Salisbury, MD

Baltimore Ketamine Clinic Eastern Shore is a medicare enrolled primary clinic (Clinic/center) in Salisbury, Maryland. The current practice location for Baltimore Ketamine Clinic Eastern Shore is 2324 N Zion Rd Ste 113, Salisbury, Maryland. For appointments, you can reach them via phone at (410) 870-5482. The mailing address for Baltimore Ketamine Clinic Eastern Shore is 2324 N Zion Rd Ste 113, Salisbury, Maryland and phone number is (410) 870-5482.

Baltimore Ketamine Clinic Eastern Shore is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366171720. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 870-5482.

Contact Information

	Baltimore Ketamine Clinic Eastern Shore
	2324 N Zion Rd Ste 113 Salisbury MD 21801-2576
	(410) 870-5482
	(410) 628-1212

Map and Direction

Primary Care Clinic Profile

Full Name	Baltimore Ketamine Clinic Eastern Shore
Speciality	Clinic/Center
Location	2324 N Zion Rd Ste 113, Salisbury, Maryland
Authorized Official Name and Position	Ivana Mitic (OWNER)
Authorized Official Contact	7134123462
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Baltimore Ketamine Clinic Eastern Shore 2324 N Zion Rd Ste 113 Salisbury MD 21801-2576 Ph: (410) 870-5482	Baltimore Ketamine Clinic Eastern Shore 2324 N Zion Rd Ste 113 Salisbury MD 21801-2576 Ph: (410) 870-5482

NPI Details:

NPI Number	1366171720
Provider Enumeration Date	06/09/2022
Last Update Date	02/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	2961881628
Medicare Enrollment ID	O20220627001766

Medical Identifiers

Medical identifiers for Baltimore Ketamine Clinic Eastern Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366171720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Baltimore Ketamine Clinic Eastern Shore acts as a billing entity for following providers:

Provider Name	Ivana Mitic
Provider Type	Practitioner - Certified Registered Nurse Anesthetist (crna)
Provider Identifiers	NPI Number: 1962743815 PECOS PAC ID: 1355580317 Enrollment ID: I20141216001308

Reviews and Comments

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Baltimore Ketamine Clinic Eastern Shore - Medicare Primary Care in Salisbury, MD