Jh Ventures, Llc - Scott Maurer Md Series | |
2465 State Route 97 Suite 10 Glenwood MD 21738-9749 | |
(410) 489-9550 | |
(410) 489-5527 |
Full Name | Jh Ventures, Llc - Scott Maurer Md Series |
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Speciality | Internal Medicine |
Location | 2465 State Route 97, Glenwood, Maryland |
Authorized Official Name and Position | Scott Maurer (M.D.) |
Authorized Official Contact | 4104899550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jh Ventures, Llc - Scott Maurer Md Series 2465 State Route 97 Suite 10 Glenwood MD 21738-9749 Ph: (410) 489-9550 | Jh Ventures, Llc - Scott Maurer Md Series 2465 State Route 97 Suite 10 Glenwood MD 21738-9749 Ph: (410) 489-9550 |
NPI Number | 1104988211 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 12/02/2010 |
Medicare PECOS PAC ID | 9830151620 |
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Medicare Enrollment ID | O20041103000632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104988211 | NPI | - | NPPES |
369411900 | Medicaid | MD | |
LQ97JH | Other | MD | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D29909 (Maryland) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | D29909 (Maryland) | Primary |
Provider Name | Scott Maurer |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1861554974 PECOS PAC ID: 8820050610 Enrollment ID: I20041111000832 |
Scott T Maurer Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2465 Route 97 Ste 10, Glenwood, MD 21738 Phone: 410-489-9550 Fax: 410-489-5527 | |
Circles Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2480 Roxbury Mills Rd Ste 10, Glenwood, MD 21738 Phone: 443-225-8283 |