<unavail> in Frederick, MD - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Frederick, Maryland. The current practice location for is 85 Thomas Johnson Ct, Suite C, Frederick, Maryland. For appointments, you can reach them via phone at (301) 668-9393. The mailing address for is 85 Thomas Johnson Ct,, Suite C, Frederick, Maryland and phone number is (301) 668-9393.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740436245. 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) 668-9393.

Contact Information


	85 Thomas Johnson Ct Suite C Frederick MD 21702
	(301) 668-9393
	(301) 668-4480

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	85 Thomas Johnson Ct, Frederick, Maryland
Authorized Official Name and Position	Tyra D Kane (OWNER/PHYSICIAN)
Authorized Official Contact	3016689393
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
85 Thomas Johnson Ct, Suite C Frederick MD 21702 Ph: (301) 668-9393	85 Thomas Johnson Ct Suite C Frederick MD 21702 Ph: (301) 668-9393

NPI Details:

NPI Number	1740436245
Provider Enumeration Date	08/15/2008
Last Update Date	10/18/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	5193889822
Medicare Enrollment ID	O20090126000188

Medical Identifiers

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

Identifier	Type	State	Issuer
1740436245	NPI	-	NPPES

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. acts as a billing entity for following providers:

Provider Name	Tyra D Kane
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1639102924 PECOS PAC ID: 8628046851 Enrollment ID: I20041204000219

Reviews and Comments

Internal Medicine in Frederick, MD

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- Medicare Primary Care in Frederick, MD