| Garrett Medical Group, Pa | |
|
311 N 4th St Oakland MD 21550-1395 | |
| (301) 334-8171 | |
| (301) 334-1807 |
| Full Name | Garrett Medical Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 311 N 4th St, Oakland, Maryland |
| Authorized Official Name and Position | Robert C Boone (ADMINISTRATOR) |
| Authorized Official Contact | 3013348171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett Medical Group, Pa 311 N 4th St Oakland MD 21550-1395 Ph: (301) 334-8171 | Garrett Medical Group, Pa 311 N 4th St Oakland MD 21550-1395 Ph: (301) 334-8171 |
| NPI Number | 1487751608 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 0749258168 |
|---|---|
| Medicare Enrollment ID | O20040927000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487751608 | NPI | - | NPPES |
| 0006936000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas G Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285627604 PECOS PAC ID: 2567445307 Enrollment ID: I20040611000408 |
| Provider Name | Robert A Goralski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033103411 PECOS PAC ID: 7113900994 Enrollment ID: I20040611000664 |
| Provider Name | Carolyn Sheaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346238003 PECOS PAC ID: 3072581594 Enrollment ID: I20040922000884 |
| Provider Name | Kenneth W Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427047240 PECOS PAC ID: 1850341421 Enrollment ID: I20050928000387 |
| Provider Name | Margaret A Kaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396732129 PECOS PAC ID: 2163599515 Enrollment ID: I20081029000379 |
| Provider Name | Daniel L Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255561312 PECOS PAC ID: 4082754981 Enrollment ID: I20091229000132 |
| Provider Name | Margaret A Kaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396732129 PECOS PAC ID: 2163599515 Enrollment ID: I20130508000298 |
| Provider Name | Lawrence Dewight Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831563907 PECOS PAC ID: 5294038840 Enrollment ID: I20160114002488 |
| Provider Name | Elyzabeth Rs Goralski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265884464 PECOS PAC ID: 5597052688 Enrollment ID: I20160916000949 |
Wellspring Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 N 4th St, Suite 1, Oakland, MD 21550 Phone: 301-334-7855 Fax: 301-334-7828 | |
Ideal Telemedicine Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 E Oak St, Oakland, MD 21550 Phone: 877-522-1275 Fax: 509-491-3031 | |
Cornerstone Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N 4th St, Suite 1, Oakland, MD 21550 Phone: 301-533-1046 Fax: 301-533-1049 | |
Mountain Laurel Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 833-448-0361 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 E Oak St, Oakland, MD 21550 Phone: 301-334-7855 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N 4th St Ste 1, Oakland, MD 21550 Phone: 301-533-1046 |