<unavail> in Frederick, MD - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Frederick, Maryland. The current practice location for is 176 Thomas Johnson Dr Ste 203, Frederick, Maryland. For appointments, you can reach them via phone at (301) 744-0979. The mailing address for is 176 Thomas Johnson Dr Ste 203, Frederick, Maryland and phone number is (240) 815-5798.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1427604099. 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 (301) 744-0979.

Contact Information


	176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535
	(301) 744-0979
	(240) 556-0294

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	176 Thomas Johnson Dr Ste 203, Frederick, Maryland
Authorized Official Name and Position	Janna Mustafina (CRNP)
Authorized Official Contact	2408155978
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 Ph: (240) 815-5798	176 Thomas Johnson Dr Ste 203 Frederick MD 21702-4535 Ph: (301) 744-0979

NPI Details:

NPI Number	1427604099
Provider Enumeration Date	08/09/2019
Last Update Date	05/11/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4587078662
Medicare Enrollment ID	O20210201002068

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427604099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (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. acts as a billing entity for following providers:

Provider Name	Janna Mustafina
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1831677236 PECOS PAC ID: 4183965197 Enrollment ID: I20190401000247

Reviews and Comments

Clinic/Center in Frederick, MD

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- Medicare Primary Care in Frederick, MD