Landmark Medical Of Tennessee Pc - Medicare Primary Care in Annapolis, MD

Landmark Medical Of Tennessee Pc is a medicare enrolled primary clinic (General Practice) in Annapolis, Maryland. The current practice location for Landmark Medical Of Tennessee Pc is 1910 Towne Centre Blvd Ste 250, Annapolis, Maryland. For appointments, you can reach them via phone at (657) 400-5180. The mailing address for Landmark Medical Of Tennessee Pc is 7755 Center Ave Ste 630, Huntington Beach, California and phone number is () -.

Landmark Medical Of Tennessee Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922722172. 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 (657) 400-5180.

Contact Information

Landmark Medical Of Tennessee Pc
1910 Towne Centre Blvd Ste 250
Annapolis
MD 21401-3599
(657) 400-5180
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameLandmark Medical Of Tennessee Pc
SpecialityGeneral Practice
Location1910 Towne Centre Blvd Ste 250, Annapolis, Maryland
Authorized Official Name and PositionMichael Huy Le (CHIEF MEDICAL OFFICE)
Authorized Official Contact6574005180
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Landmark Medical Of Tennessee Pc
7755 Center Ave Ste 630
Huntington Beach
CA 92647-9152

Ph: () -
Landmark Medical Of Tennessee Pc
1910 Towne Centre Blvd Ste 250
Annapolis
MD 21401-3599

Ph: (657) 400-5180

NPI Details:

NPI Number1922722172
Provider Enumeration Date09/30/2022
Last Update Date09/30/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8527453851
Medicare Enrollment IDO20230109002147

Medical Identifiers

Medical identifiers for Landmark Medical Of Tennessee Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922722172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Landmark Medical Of Tennessee Pc acts as a billing entity for following providers:
Provider NameAlexa Gale
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487897195
PECOS PAC ID: 5294975900
Enrollment ID: I20130701000122
Provider NameYoseph Fisahaye Teweldebrhan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528508009
PECOS PAC ID: 8820361181
Enrollment ID: I20171122002647
Provider NameMispa Atah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871006635
PECOS PAC ID: 5395086938
Enrollment ID: I20210616002536
Provider NameDavid Moen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942312301
PECOS PAC ID: 9830149624
Enrollment ID: I20230109002321
Provider NameKurwa Nyigu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417925272
PECOS PAC ID: 7416928650
Enrollment ID: I20230410002673
Provider NameVivian V Tan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649787011
PECOS PAC ID: 3274885447
Enrollment ID: I20230420000458
Provider NameEdward Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952369548
PECOS PAC ID: 8426009119
Enrollment ID: I20230425001689
Provider NameChiedozie Eke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669636494
PECOS PAC ID: 9133394158
Enrollment ID: I20230425002539
Provider NameJennifer Dietrich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821496720
PECOS PAC ID: 5597089185
Enrollment ID: I20230612002096

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.