Fayette Physician Network Inc | |
250 Maple St Friendsville MD 21531-2122 | |
(301) 746-4160 | |
(301) 746-4162 |
Full Name | Fayette Physician Network Inc |
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Speciality | Family Medicine |
Location | 250 Maple St, Friendsville, Maryland |
Authorized Official Name and Position | David Frederick Hess (PRESIDENT/CEO) |
Authorized Official Contact | 7244305000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fayette Physician Network Inc Po Box 796 Morgantown WV 26507-0796 Ph: (800) 541-4009 | Fayette Physician Network Inc 250 Maple St Friendsville MD 21531-2122 Ph: (301) 746-4160 |
NPI Number | 1437823044 |
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Provider Enumeration Date | 08/06/2021 |
Last Update Date | 08/06/2021 |
Medicare PECOS PAC ID | 3375865819 |
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Medicare Enrollment ID | O20220822000080 |
Identifier | Type | State | Issuer |
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1437823044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kevin M Clarke |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487664835 PECOS PAC ID: 0648217638 Enrollment ID: I20050412000157 |
Provider Name | Aimee Seningen |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1144424961 PECOS PAC ID: 0244328904 Enrollment ID: I20071113000559 |
Provider Name | Brian Keith Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518408756 PECOS PAC ID: 4486058955 Enrollment ID: I20220511002068 |
Provider Name | Anna Maria Suray |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407819360 PECOS PAC ID: 6800984568 Enrollment ID: I20221026000896 |
Provider Name | Sonali Mehta |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1225148505 PECOS PAC ID: 6507233111 Enrollment ID: I20221110000219 |
Provider Name | Alyssa Barnette |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669024709 PECOS PAC ID: 1658744008 Enrollment ID: I20230306000865 |
Provider Name | Jessica Oliverio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598169500 PECOS PAC ID: 2769857788 Enrollment ID: I20230405000696 |
Provider Name | Aaron Heaberlin |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285169581 PECOS PAC ID: 1759650344 Enrollment ID: I20231101000690 |
Provider Name | Analissa Marie White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053003061 PECOS PAC ID: 3476913351 Enrollment ID: I20231211002275 |