Gyan C Surana Md.pc. is a medicare enrolled primary clinic (Internal Medicine) in Deale, Maryland. The current practice location for Gyan C Surana Md.pc. is 5851 Deale Churchton Rd, Suite 16, Deale, Maryland. For appointments, you can reach them via phone at
(410) 867-6764. The mailing address for Gyan C Surana Md.pc. is 5554 Muddy Creek Rd, Churchton, Maryland and phone number is (410) 867-6700.
Gyan C Surana Md.pc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1639313570. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(410) 867-6764.
Primary Care Clinic Profile
| Full Name | Gyan C Surana Md.pc. |
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| Speciality | Internal Medicine |
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| Location | 5851 Deale Churchton Rd, Deale, Maryland |
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| Authorized Official Name and Position | Chandra Jain (OFFICE MANAGER) |
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| Authorized Official Contact | 4108676700 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Gyan C Surana Md.pc.
5554 Muddy Creek Rd
Churchton
MD 20733-2410
Ph: (410) 867-6700 | Gyan C Surana Md.pc.
5851 Deale Churchton Rd
Suite 16
Deale
MD 20751-2202
Ph: (410) 867-6764 |
NPI Details:
| NPI Number | 1639313570 |
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| Provider Enumeration Date | 04/22/2009 |
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| Last Update Date | 02/28/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2264583541 |
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| Medicare Enrollment ID | O20090626000080 |
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Medical Identifiers
Medical identifiers for Gyan C Surana Md.pc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639313570 | NPI | - | NPPES |
| 154360100 | Medicaid | MD | |
| 154360101 | Medicaid | MD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Gyan C Surana Md.pc. acts as a billing entity for following providers:
| Provider Name | Gyan C Surana |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1265446694
PECOS PAC ID: 2365593936
Enrollment ID: I20090623000261 |
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