| Garrett Surgical Group, P.a. | |
|
255 N 4th St Ste 2 Oakland MD 21550-1340 | |
| (301) 334-8282 | |
| (301) 334-8468 |
| Full Name | Garrett Surgical Group, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 N 4th St Ste 2, Oakland, Maryland |
| Authorized Official Name and Position | Charles A. Walch (PRESIDENT) |
| Authorized Official Contact | 3013348282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett Surgical Group, P.a. 255 N 4th St Ste 2 Oakland MD 21550-1340 Ph: (301) 334-8282 | Garrett Surgical Group, P.a. 255 N 4th St Ste 2 Oakland MD 21550-1340 Ph: (301) 334-8282 |
| NPI Number | 1811025653 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 02/10/2020 |
| Medicare PECOS PAC ID | 6608042361 |
|---|---|
| Medicare Enrollment ID | O20111229000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811025653 | NPI | - | NPPES |
| S3300000 | Other | MD | BLUE CHOICE |
| 022248500 | Other | DC | MEDICAID |
| 205900200 | Medicaid | MD | |
| 413716 | Other | PA | BCBS |
| 330396 | Other | MD | TRIGON BCBS |
| 1395892 | Other | MD | MWA |
| H814GA | Other | MD | BCBS |
| 260066 | Other | MD | BLACK LUNG |
| 0499579 | Other | DC | WELFARE |
| H814GA | Other | MD | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D47925 (Maryland) | Primary |
| Provider Name | Charles Andrew Walch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396845384 PECOS PAC ID: 0941383418 Enrollment ID: I20131125000604 |
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