Five Star Physician Services, Llc | |
785 Elkridge Landing Rd Ste 300 Linthicum Heights MD 21090-2958 | |
(443) 548-5700 | |
(443) 548-5705 |
Full Name | Five Star Physician Services, Llc |
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Speciality | Internal Medicine |
Location | 785 Elkridge Landing Rd Ste 300, Linthicum Heights, Maryland |
Authorized Official Name and Position | Rachel Setting (OPERATIONS MANAGER) |
Authorized Official Contact | 4102790317 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Five Star Physician Services, Llc P.o. Box 2613 Salisbury MD 21802-2613 Ph: (443) 548-5700 | Five Star Physician Services, Llc 785 Elkridge Landing Rd Ste 300 Linthicum Heights MD 21090-2958 Ph: (443) 548-5700 |
NPI Number | 1083654479 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 07/03/2024 |
Medicare PECOS PAC ID | 3779572862 |
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Medicare Enrollment ID | O20040512000797 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083654479 | NPI | - | NPPES |
027430900 | Medicaid | DC | |
539702400 | Medicaid | MD |
Provider Name | Revia M Veney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861559825 PECOS PAC ID: 5294720421 Enrollment ID: I20040417000220 |
Provider Name | Usha V Gollapalli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235136672 PECOS PAC ID: 5496736134 Enrollment ID: I20040527000860 |
Provider Name | Tedla B Anbessie |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972590743 PECOS PAC ID: 4183619117 Enrollment ID: I20041120000040 |
Provider Name | Tasneem Lakhani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164492880 PECOS PAC ID: 2961414859 Enrollment ID: I20060614000107 |
Provider Name | Dorothy Mae Seay |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255376539 PECOS PAC ID: 1355368770 Enrollment ID: I20070424000273 |
Provider Name | Deborah A Stein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538214382 PECOS PAC ID: 3870692502 Enrollment ID: I20070621000252 |
Provider Name | Khawaja A Farooq |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447281308 PECOS PAC ID: 9436255262 Enrollment ID: I20081020000003 |
Provider Name | Angela R Rajesh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760635502 PECOS PAC ID: 4880756162 Enrollment ID: I20090209000304 |
Provider Name | Kristina E Lynch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538381389 PECOS PAC ID: 5698828093 Enrollment ID: I20091028000372 |
Provider Name | Laurene Troxler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942351044 PECOS PAC ID: 1153463104 Enrollment ID: I20100128000783 |
Provider Name | Karen V Plunkett-reid |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316006844 PECOS PAC ID: 9335332253 Enrollment ID: I20101026000089 |
Provider Name | Michael Joseph Thomas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730348301 PECOS PAC ID: 9436334968 Enrollment ID: I20110427000744 |
Provider Name | Javier Quant-gonzalez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134159163 PECOS PAC ID: 2163609447 Enrollment ID: I20110614000700 |
Provider Name | Felix Dipinto |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912973405 PECOS PAC ID: 0840468195 Enrollment ID: I20110718000197 |
Provider Name | Regina Toal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003100652 PECOS PAC ID: 9739354150 Enrollment ID: I20111214000439 |
Provider Name | Natasha L Loving |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053698407 PECOS PAC ID: 4688840580 Enrollment ID: I20111227000208 |
Provider Name | Teizu Wolokolie |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841240108 PECOS PAC ID: 0648166363 Enrollment ID: I20120406000243 |
Provider Name | Fatima Ali Naqvi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427248459 PECOS PAC ID: 5698891521 Enrollment ID: I20120928000167 |
Provider Name | Taiwo O Oluyemo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245502889 PECOS PAC ID: 3678724671 Enrollment ID: I20121126000377 |
Provider Name | Sacari Thomas Mohamed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598955494 PECOS PAC ID: 6800984006 Enrollment ID: I20130311000421 |
Provider Name | Titilayo O Orimogunje |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932447109 PECOS PAC ID: 9032347414 Enrollment ID: I20140109001207 |
Provider Name | Florence Oluranti Alli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760887517 PECOS PAC ID: 7810209954 Enrollment ID: I20150702001649 |
Provider Name | Nkechi F Okwara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699162016 PECOS PAC ID: 5496061616 Enrollment ID: I20150928000545 |
Provider Name | Boris A Frolov |
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Provider Type | Practitioner - Nuclear Medicine |
Provider Identifiers | NPI Number: 1780690107 PECOS PAC ID: 4688995160 Enrollment ID: I20151005002143 |
Provider Name | Patricia Stafford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124450176 PECOS PAC ID: 5698907897 Enrollment ID: I20151022001542 |
Provider Name | Cynthia E Sterling Harley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821494964 PECOS PAC ID: 9739481771 Enrollment ID: I20160121002486 |
Provider Name | Pavani Adusumilli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568624955 PECOS PAC ID: 1052575511 Enrollment ID: I20160129000826 |
Provider Name | Caroline Shirima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114396637 PECOS PAC ID: 4284938911 Enrollment ID: I20160201001410 |
Provider Name | Evangeline C Obi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376771279 PECOS PAC ID: 2062660038 Enrollment ID: I20160328000080 |
Provider Name | Shemile Joyce Wiggin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538515754 PECOS PAC ID: 5193017283 Enrollment ID: I20160711001647 |
Provider Name | Roseanne C Cousins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669659918 PECOS PAC ID: 0648339598 Enrollment ID: I20170324001059 |
Provider Name | Leonard Allison Richardson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053384750 PECOS PAC ID: 7911915400 Enrollment ID: I20180319001328 |
Provider Name | Ntaobasi Patrick Udeh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578990693 PECOS PAC ID: 1254691140 Enrollment ID: I20180618000309 |
Provider Name | Linda Ukeje |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649795857 PECOS PAC ID: 2365708997 Enrollment ID: I20180808001666 |
Provider Name | Elena V Iarikova |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124226386 PECOS PAC ID: 8921190158 Enrollment ID: I20190509000205 |
Provider Name | Anika Murray |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760544332 PECOS PAC ID: 6800813353 Enrollment ID: I20190812001899 |
Provider Name | Elizabeth Chinwe Akano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487208740 PECOS PAC ID: 2860828977 Enrollment ID: I20200210001798 |
Provider Name | Edith Emelife |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295389930 PECOS PAC ID: 1557798691 Enrollment ID: I20200325000196 |
Provider Name | Olusola Aina Essien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750896437 PECOS PAC ID: 0941562375 Enrollment ID: I20200603002334 |
Provider Name | Madai Chardon-borrero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336156108 PECOS PAC ID: 4880649433 Enrollment ID: I20200810000937 |
Provider Name | Patience Agbonavbare |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1952651309 PECOS PAC ID: 4981844834 Enrollment ID: I20210310002555 |
Provider Name | Mildred Kangkolo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639754336 PECOS PAC ID: 7719380971 Enrollment ID: I20210726001475 |
Provider Name | Andrea Tenney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508245275 PECOS PAC ID: 7113239351 Enrollment ID: I20231030003650 |
Medstar Health Weight Management, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1099 Winterson Rd Ste 300, Linthicum Heights, MD 21090 Phone: 800-905-3261 | |
Phaeton Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 S Camp Meade Rd Ste 1, Linthicum Heights, MD 21090 Phone: 443-410-3325 Fax: 443-960-4572 |