| Chapel View Family Care Pc | |
|
9524 Belair Rd Baltimore MD 21236-1508 | |
| (410) 529-2781 | |
| (410) 529-0085 |
| Full Name | Chapel View Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9524 Belair Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Tammy Anstine (BILLING MANAGER) |
| Authorized Official Contact | 4105299311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapel View Family Care Pc 9524 Belair Rd Baltimore MD 21236-1508 Ph: (410) 529-2781 | Chapel View Family Care Pc 9524 Belair Rd Baltimore MD 21236-1508 Ph: (410) 529-2781 |
| NPI Number | 1780644104 |
|---|---|
| Provider Enumeration Date | 03/28/2006 |
| Last Update Date | 04/10/2013 |
| Medicare PECOS PAC ID | 0244263853 |
|---|---|
| Medicare Enrollment ID | O20050914001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780644104 | NPI | - | NPPES |
| KQ67CH | Other | MD | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0045568 (Maryland) | Primary |
| Provider Name | Kristine C Salvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396740106 PECOS PAC ID: 4688867815 Enrollment ID: I20101020001239 |
| Provider Name | Bradford L Ebright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053316158 PECOS PAC ID: 3274566815 Enrollment ID: I20101025001087 |
| Provider Name | Kasey Cambero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702253 PECOS PAC ID: 5890041149 Enrollment ID: I20180629000360 |
| Provider Name | Allison Np Sobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487152468 PECOS PAC ID: 3870846892 Enrollment ID: I20181022001161 |
| Provider Name | Lauren Elisabeth Lokey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134536170 PECOS PAC ID: 4789921784 Enrollment ID: I20190129003229 |
| Provider Name | Rebecca Erin Coeyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760179907 PECOS PAC ID: 3375904527 Enrollment ID: I20230803002406 |
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