| Ernest Uzicanin Md, Pc | |
|
19236 Meadow View Dr Hagerstown MD 21742-2924 | |
| (301) 745-3695 | |
| (301) 745-4572 |
| Full Name | Ernest Uzicanin Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 19236 Meadow View Dr, Hagerstown, Maryland |
| Authorized Official Name and Position | Ernest Uzicanin (PRESIDENT) |
| Authorized Official Contact | 3017453695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest Uzicanin Md, Pc 19236 Meadow View Dr Hagerstown MD 21742-2924 Ph: (301) 745-3695 | Ernest Uzicanin Md, Pc 19236 Meadow View Dr Hagerstown MD 21742-2924 Ph: (301) 745-3695 |
| NPI Number | 1285075069 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Medicare PECOS PAC ID | 2365679255 |
|---|---|
| Medicare Enrollment ID | O20131223000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285075069 | NPI | - | NPPES |
| 68550001 | Other | FEDERAL BCBS | |
| 080103436 | Other | MD | RAILROAD MEDICARE |
| 359Q | Other | MD | MEDICARE ID |
| 0U04 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0040622 (Maryland) | Primary |
| Provider Name | Ernest Uzicanin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992728380 PECOS PAC ID: 0446487334 Enrollment ID: I20131223000480 |
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