| Jaller Family Medicine, Pc | |
|
184 Thomas Johnson Dr Ste 200 Frederick MD 21702-4561 | |
| (301) 624-5544 | |
| (301) 624-4164 |
| Full Name | Jaller Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 184 Thomas Johnson Dr Ste 200, Frederick, Maryland |
| Authorized Official Name and Position | David Jaller (OWNER) |
| Authorized Official Contact | 3016245544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaller Family Medicine, Pc 4805 Tallahassee Ave Rockville MD 20853-3144 Ph: (301) 942-9773 | Jaller Family Medicine, Pc 184 Thomas Johnson Dr Ste 200 Frederick MD 21702-4561 Ph: (301) 624-5544 |
| NPI Number | 1538372826 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 6800807827 |
|---|---|
| Medicare Enrollment ID | O20060505000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538372826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0033153 (Maryland) | Primary |
| Provider Name | David E Jaller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447221460 PECOS PAC ID: 5597731422 Enrollment ID: I20050210000726 |
Jhcp - 3501 John Simmons St A201 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 John Simmons St # A201, Frederick, MD 21704 Phone: 410-933-0000 | |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Lourdes Brigida Hunter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Thomas Johnson Dr, Suite 104, Frederick, MD 21702 Phone: 301-360-0776 Fax: 301-631-8443 | |
Sivimed Internal Medicine Associates Nd Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 141 Thomas Johnson Dr Ste 100, Frederick, MD 21702 Phone: 301-228-9123 Fax: 855-760-5009 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Mason-dixon Mobile Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 N Market St, Frederick, MD 21701 Phone: 240-397-6723 Fax: 833-992-0865 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 |