| Fairhill Family Medicine Specialists, Llc | |
|
361 Fair Hill Dr Elkton MD 21921-2512 | |
| (410) 620-7260 | |
| (410) 620-7262 |
| Full Name | Fairhill Family Medicine Specialists, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 361 Fair Hill Dr, Elkton, Maryland |
| Authorized Official Name and Position | Bonni Roberts (PHYSICIAN) |
| Authorized Official Contact | 4106207260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhill Family Medicine Specialists, Llc 361 Fair Hill Dr Elkton MD 21921-2512 Ph: (410) 620-7260 | Fairhill Family Medicine Specialists, Llc 361 Fair Hill Dr Elkton MD 21921-2512 Ph: (410) 620-7260 |
| NPI Number | 1811942311 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406892660 |
|---|---|
| Medicare Enrollment ID | O20050628001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811942311 | NPI | - | NPPES |
| 189CFA | Other | MD | CAREFIRST GROUP NUMBER |
| DE0145 | Other | MD | MCR RAILROAD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bonni B Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316904121 PECOS PAC ID: 3678519832 Enrollment ID: I20050628001377 |
| Provider Name | Vanessa V Villar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639136104 PECOS PAC ID: 5092749275 Enrollment ID: I20050927000447 |
| Provider Name | Jill Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548986821 PECOS PAC ID: 0840663282 Enrollment ID: I20230306000439 |
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