| Dorchester Health & Wellness Llc | |
|
100 Bramble St Ste 2 Cambridge MD 21613-2471 | |
| (443) 255-6674 | |
| Not Available |
| Full Name | Dorchester Health & Wellness Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Bramble St Ste 2, Cambridge, Maryland |
| Authorized Official Name and Position | Edward John Luschinski (OWNER) |
| Authorized Official Contact | 4432256674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorchester Health & Wellness Llc 100 Bramble St Ste 2 Cambridge MD 21613-2471 Ph: (443) 225-6674 | Dorchester Health & Wellness Llc 100 Bramble St Ste 2 Cambridge MD 21613-2471 Ph: (443) 255-6674 |
| NPI Number | 1770291023 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 8426415845 |
|---|---|
| Medicare Enrollment ID | O20230531000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770291023 | NPI | - | NPPES |
| 1205447448 | Other | NPPES | |
| 1043875719 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Donna M Scharch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043875719 PECOS PAC ID: 9739413840 Enrollment ID: I20190625000840 |
| Provider Name | Edward J Luschinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205447448 PECOS PAC ID: 1850718529 Enrollment ID: I20200826000836 |
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