| Calvert Internal Medicine Group Pa | |
|
985 Prince Frederick Blvd Ste 201 Prince Frederick MD 20678-3492 | |
| (410) 535-2005 | |
| (410) 535-4761 |
| Full Name | Calvert Internal Medicine Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 985 Prince Frederick Blvd Ste 201, Prince Frederick, Maryland |
| Authorized Official Name and Position | Jonathan Lowenthal (PRESIDENT) |
| Authorized Official Contact | 4105352005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvert Internal Medicine Group Pa 985 Prince Frederick Blvd Suite 201 Prince Frederick MD 20678-3492 Ph: (410) 535-2005 | Calvert Internal Medicine Group Pa 985 Prince Frederick Blvd Ste 201 Prince Frederick MD 20678-3492 Ph: (410) 535-2005 |
| NPI Number | 1174682298 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1759371834 |
|---|---|
| Medicare Enrollment ID | O20040512001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174682298 | NPI | - | NPPES |
| C041 | Other | DC | CAREFIRST OF DC |
| KB03 | Other | MD | CAREFIRST OF MD |
| 256411400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nayantara M Mendonca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952453359 PECOS PAC ID: 1759353881 Enrollment ID: I20040810000506 |
| Provider Name | Ciaran T Browne |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467436022 PECOS PAC ID: 2365408010 Enrollment ID: I20050602000432 |
| Provider Name | Tiffany A Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881617587 PECOS PAC ID: 1850493750 Enrollment ID: I20070223000275 |
| Provider Name | Eric Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346315157 PECOS PAC ID: 5092818161 Enrollment ID: I20070309000199 |
| Provider Name | Samuel H Foster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780665984 PECOS PAC ID: 6507841830 Enrollment ID: I20071112000308 |
| Provider Name | Yvonne Renee Bright |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528117124 PECOS PAC ID: 5193735447 Enrollment ID: I20080910000681 |
| Provider Name | Peter Leonard Wisniewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922157593 PECOS PAC ID: 4587674825 Enrollment ID: I20100602000764 |
| Provider Name | Joseph J Barth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164571741 PECOS PAC ID: 0941210280 Enrollment ID: I20100603000293 |
| Provider Name | Paul Vincent Pomilla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467501114 PECOS PAC ID: 6406866748 Enrollment ID: I20100608000051 |
| Provider Name | Julie A Okeefe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013078880 PECOS PAC ID: 0840320503 Enrollment ID: I20100608000105 |
| Provider Name | David R Gallatin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992866776 PECOS PAC ID: 7214947555 Enrollment ID: I20100608000242 |
| Provider Name | Catherine Lee Heilig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982759411 PECOS PAC ID: 9436282969 Enrollment ID: I20100804000004 |
| Provider Name | Jonathan David Lowenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861553711 PECOS PAC ID: 1052321395 Enrollment ID: I20101026001160 |
| Provider Name | Alison Massey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649502451 PECOS PAC ID: 7911186762 Enrollment ID: I20110125001053 |
| Provider Name | Dolores Rhodes-height |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558310698 PECOS PAC ID: 0244235364 Enrollment ID: I20111018000714 |
| Provider Name | Cynthia K Grandjean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508898750 PECOS PAC ID: 7012095094 Enrollment ID: I20120221000165 |
| Provider Name | Glynis Alma Moody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396897799 PECOS PAC ID: 3173515624 Enrollment ID: I20121008000416 |
| Provider Name | Cassius D Belfonte |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093978322 PECOS PAC ID: 5193942373 Enrollment ID: I20140812001168 |
| Provider Name | Elizabeth A Bissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982097473 PECOS PAC ID: 0042539025 Enrollment ID: I20150427000299 |
| Provider Name | Ramin Pirouz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285860700 PECOS PAC ID: 0547569089 Enrollment ID: I20160728000269 |
| Provider Name | Kristen A Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962912717 PECOS PAC ID: 1557600533 Enrollment ID: I20190308002766 |
| Provider Name | Paul A Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114375607 PECOS PAC ID: 0446542278 Enrollment ID: I20190722002280 |
| Provider Name | Brendan Glowacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871148973 PECOS PAC ID: 8729316724 Enrollment ID: I20190829001795 |
| Provider Name | Jacquelyn C Wallander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063180792 PECOS PAC ID: 4789081373 Enrollment ID: I20210924000116 |
| Provider Name | Leon A Drumm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417613431 PECOS PAC ID: 5294127130 Enrollment ID: I20220126001445 |
| Provider Name | Brett D Coons |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780670281 PECOS PAC ID: 7315334489 Enrollment ID: I20220420002504 |
| Provider Name | Mary Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326691916 PECOS PAC ID: 4587096839 Enrollment ID: I20230123000989 |
Calverthealth Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 112, Prince Frederick, MD 20678 Phone: 410-414-9116 Fax: 410-414-9118 | |
Shah Associates Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 303, Calvert Medical Center, Prince Frederick, MD 20678 Phone: 410-535-4333 Fax: 410-535-0495 | |
John P Hakim Md & Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 W Dares Beach Rd, Suite 101, Prince Frederick, MD 20678 Phone: 443-880-5146 Fax: 301-856-5454 | |
Calvert Family Practice Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678 Phone: 410-535-4488 Fax: 410-535-6131 | |
Bhargesh P. Mehta, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Prince Frederick Blvd, Suite 101, Prince Frederick, MD 20678 Phone: 410-535-5555 Fax: 410-535-5599 | |
Integrated Wound Care Management Maryland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 85 Hospital Rd, Prince Frederick, MD 20678 Phone: 201-870-1194 |