<unavail> in Baltimore, MD - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Baltimore, Maryland. The current practice location for is 600 N. Wolfe Street, Baltimore, Maryland. For appointments, you can reach them via phone at (410) 558-5238. The mailing address for is Po Box 64264, Baltimore, Maryland and phone number is () -.

is licensed to practice in Maryland (license number ). The clinic also participates in the medicare program and its NPI number is 1104816172. 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 (410) 558-5238.

Contact Information


	600 N. Wolfe Street Baltimore MD 21264-0001
	(410) 558-5238
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	600 N. Wolfe Street, Baltimore, Maryland
Authorized Official Name and Position	Shavonda L Keating (SR PRODUCTION UNIT MGR)
Authorized Official Contact	4109336430
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 64264 Baltimore MD 21264-4264 Ph: () -	600 N. Wolfe Street Baltimore MD 21264-0001 Ph: (410) 558-5238

NPI Details:

NPI Number	1104816172
Provider Enumeration Date	10/21/2005
Last Update Date	07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	8921903147
Medicare Enrollment ID	O20130530000068

Medical Identifiers

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

Identifier	Type	State	Issuer
1104816172	NPI	-	NPPES
055237400	Medicaid	DC
691105600	Medicaid	MD
CD2563	Other	MD	RRMC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	(Maryland)	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	Samuel C Durso
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1386691541 PECOS PAC ID: 9234322736 Enrollment ID: I20130604000812

Reviews and Comments

Internal Medicine in Baltimore, MD

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- Medicare Primary Care in Baltimore, MD