Integrated Wound Care Management Maryland Llc | |
85 Hospital Rd Prince Frederick MD 20678-4018 | |
(201) 870-1194 | |
Not Available |
Full Name | Integrated Wound Care Management Maryland Llc |
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Speciality | General Practice |
Location | 85 Hospital Rd, Prince Frederick, Maryland |
Authorized Official Name and Position | Diane Lusas (MEMBER) |
Authorized Official Contact | 7324514318 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Wound Care Management Maryland Llc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Management Maryland Llc 85 Hospital Rd Prince Frederick MD 20678-4018 Ph: (201) 870-1194 |
NPI Number | 1154963056 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 02/23/2022 |
Medicare PECOS PAC ID | 4880026822 |
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Medicare Enrollment ID | O20191113002533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154963056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Prudence Jackson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548203482 PECOS PAC ID: 4688637069 Enrollment ID: I20041106000057 |
Provider Name | Kathryn S Loschiavo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225182652 PECOS PAC ID: 9931295722 Enrollment ID: I20071009000749 |
Provider Name | Patricia G Milburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396941696 PECOS PAC ID: 9537330550 Enrollment ID: I20110923000519 |
Provider Name | Marina Borodkina |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1578724670 PECOS PAC ID: 1254515836 Enrollment ID: I20120731000161 |
Provider Name | Feremusu Nadia Kamara |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154319119 PECOS PAC ID: 6901836089 Enrollment ID: I20130619000335 |
Provider Name | Abiola O Obatuase |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679086813 PECOS PAC ID: 7012261415 Enrollment ID: I20181126000149 |
Provider Name | Emilie Pozoulakis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346727492 PECOS PAC ID: 8628312386 Enrollment ID: I20181206001191 |
Provider Name | Nana Yaa F Agyemang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225524796 PECOS PAC ID: 9335490614 Enrollment ID: I20190204002208 |
Provider Name | Erin Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194378760 PECOS PAC ID: 2365877206 Enrollment ID: I20200122002585 |
Provider Name | Fatou Fye Holley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588223507 PECOS PAC ID: 7113348483 Enrollment ID: I20200522002330 |
Provider Name | Angela U Tabugbo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194392548 PECOS PAC ID: 7214330737 Enrollment ID: I20210721002820 |
Provider Name | Diane Lusas |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20211228001465 |
Provider Name | Jerome Cabalhin Lastimosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588316798 PECOS PAC ID: 7315330180 Enrollment ID: I20220201000019 |
Provider Name | Catherine Gaturo Njiru Sewer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063914836 PECOS PAC ID: 3072914647 Enrollment ID: I20220822000279 |
Provider Name | Margaret Adeyeri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932869690 PECOS PAC ID: 8224416771 Enrollment ID: I20220822001040 |
Provider Name | Rosilin Joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275112153 PECOS PAC ID: 9537543525 Enrollment ID: I20220824002745 |
Provider Name | Pamala Kanhai |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780137877 PECOS PAC ID: 4284019803 Enrollment ID: I20220922003262 |
Provider Name | Mark Vincent Tolentino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437783388 PECOS PAC ID: 1850708041 Enrollment ID: I20221107000937 |
Provider Name | Ashley Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750836979 PECOS PAC ID: 9234417338 Enrollment ID: I20221115000257 |
Provider Name | Joan Maldonado-resto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689157430 PECOS PAC ID: 4789053059 Enrollment ID: I20221208000118 |
Provider Name | Arin Longfellow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972055085 PECOS PAC ID: 9931482395 Enrollment ID: I20221229000234 |
Provider Name | Shelby Elizabeth Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972295418 PECOS PAC ID: 0547628166 Enrollment ID: I20230614000652 |
Provider Name | Darien Keeling |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1639757727 PECOS PAC ID: 5193188225 Enrollment ID: I20230823000030 |
Provider Name | Edward Kelly |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1679134910 PECOS PAC ID: 8022349117 Enrollment ID: I20231009003056 |
Provider Name | Brittany C Oldland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194404749 PECOS PAC ID: 9638527625 Enrollment ID: I20231201000923 |
Calverthealth Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 112, Prince Frederick, MD 20678 Phone: 410-414-9116 Fax: 410-414-9118 | |
Shah Associates Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 303, Calvert Medical Center, Prince Frederick, MD 20678 Phone: 410-535-4333 Fax: 410-535-0495 | |
John P Hakim Md & Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 W Dares Beach Rd, Suite 101, Prince Frederick, MD 20678 Phone: 443-880-5146 Fax: 301-856-5454 | |
Calvert Family Practice Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678 Phone: 410-535-4488 Fax: 410-535-6131 | |
Bhargesh P. Mehta, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Prince Frederick Blvd, Suite 101, Prince Frederick, MD 20678 Phone: 410-535-5555 Fax: 410-535-5599 | |
Calvert Internal Medicine Group Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 985 Prince Frederick Blvd Ste 201, Prince Frederick, MD 20678 Phone: 410-535-2005 Fax: 410-535-4761 |