<unavail> in Odenton, MD - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Odenton, Maryland. The current practice location for is 1215 Annapolis Rd Ste 101, Odenton, Maryland. For appointments, you can reach them via phone at (301) 832-1832. The mailing address for is 1215 Annapolis Rd Ste 101, Odenton, Maryland and phone number is (410) 220-4449.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811523293. 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 (301) 832-1832.

Contact Information


	1215 Annapolis Rd Ste 101 Odenton MD 21113-1334
	(301) 832-1832
	(301) 576-5715

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1215 Annapolis Rd Ste 101, Odenton, Maryland
Authorized Official Name and Position	Nkiru Smith (MANAGER)
Authorized Official Contact	2022075240
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1215 Annapolis Rd Ste 101 Odenton MD 21113-1334 Ph: (410) 220-4449	1215 Annapolis Rd Ste 101 Odenton MD 21113-1334 Ph: (301) 832-1832

NPI Details:

NPI Number	1811523293
Provider Enumeration Date	03/18/2020
Last Update Date	07/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0143644534
Medicare Enrollment ID	O20240801002410

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811523293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family 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. acts as a billing entity for following providers:

Provider Name	Nkiru Smith
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1205332814 PECOS PAC ID: 4385868884 Enrollment ID: I20201217000015

Reviews and Comments

Family Medicine in Odenton, MD

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Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 Annapolis Road, Odenton, MD 21113 Phone: 443-351-3917 Fax: 443-351-3918
Luminis Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Annapolis Rd Ste 130, Odenton, MD 21113 Phone: 443-481-1000 Fax: 443-481-4151
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Annapolis Road Ste 310, Odenton, MD 21113 Phone: 410-933-0000
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Odenton Rd, Odenton, MD 21113 Phone: 410-467-6040 Fax: 443-743-2866

- Medicare Primary Care in Odenton, MD