Deo Gracias Faustino Md Pa | |
4111 Lower Beckleysville Rd Hampstead MD 21074-2248 | |
(410) 374-4488 | |
Not Available |
Full Name | Deo Gracias Faustino Md Pa |
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Speciality | Family Medicine |
Location | 4111 Lower Beckleysville Rd, Hampstead, Maryland |
Authorized Official Name and Position | Deogracias Faustino (INTERNIST) |
Authorized Official Contact | 4103744488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deo Gracias Faustino Md Pa Po Box 698 Hampstead MD 21074-0698 Ph: (410) 374-4488 | Deo Gracias Faustino Md Pa 4111 Lower Beckleysville Rd Hampstead MD 21074-2248 Ph: (410) 374-4488 |
NPI Number | 1467771774 |
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Provider Enumeration Date | 05/26/2010 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 5496885212 |
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Medicare Enrollment ID | O20100604000712 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467771774 | NPI | - | NPPES |
D0012901 | Other | MD | DMHMH LICENSE NO. |
009431500 | Medicaid | MD | |
1164504528 | Other | MD | SOLO PRACTICE NPI AS DEOGRACIAS V. FAUSTINO, M.D. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D0012901 (Maryland) | Primary |
Provider Name | Deogracias Faustino |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164504528 PECOS PAC ID: 9931239761 Enrollment ID: I20100604000746 |
Carroll Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 Houcksville Rd, Hampstead, MD 21074 Phone: 410-239-0406 Fax: 410-239-0407 | |
Carroll Health Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2319 Hanover Pike, Suite E-f, Hampstead, MD 21074 Phone: 410-374-0675 | |
Carroll Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 Northwoods Trail, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 | |
Carroll Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4231 N Woods Trl, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 N Houcksville Rd, Hampstead, MD 21074 Phone: 410-239-0406 | |
Carroll Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4231 N Woods Trl, Hampstead, MD 21074 Phone: 410-374-9391 Fax: 410-374-1866 |