| Mace Medical Llc | |
|
1124 Mace Ave Essex MD 21221-3315 | |
| (410) 391-6996 | |
| (410) 687-6877 |
| Full Name | Mace Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1124 Mace Ave, Essex, Maryland |
| Authorized Official Name and Position | John M Lee (PHYSICIAN) |
| Authorized Official Contact | 4103916996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mace Medical Llc 1124 Mace Ave Essex MD 21221-3315 Ph: (410) 391-6996 | Mace Medical Llc 1124 Mace Ave Essex MD 21221-3315 Ph: (410) 391-6996 |
| NPI Number | 1114374360 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Medicare PECOS PAC ID | 8123308020 |
|---|---|
| Medicare Enrollment ID | O20161212001544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114374360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chukwuma M Ebo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275548729 PECOS PAC ID: 3476520537 Enrollment ID: I20040916000893 |
| Provider Name | Sajid Arain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609970789 PECOS PAC ID: 7618993346 Enrollment ID: I20051021000114 |
| Provider Name | John J Loh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306852827 PECOS PAC ID: 2062573819 Enrollment ID: I20090303000276 |
| Provider Name | Gina Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932249778 PECOS PAC ID: 1153460027 Enrollment ID: I20091207000169 |
| Provider Name | Savitha Shivananda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104831684 PECOS PAC ID: 4789878844 Enrollment ID: I20101102001262 |
| Provider Name | John M Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275849051 PECOS PAC ID: 6103068846 Enrollment ID: I20130809000232 |
| Provider Name | Ololade O Ikuomola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114457421 PECOS PAC ID: 7113293309 Enrollment ID: I20171016000948 |
| Provider Name | Janet Wulf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306490271 PECOS PAC ID: 6901137801 Enrollment ID: I20191008000086 |
| Provider Name | Hannah Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740881226 PECOS PAC ID: 1052724721 Enrollment ID: I20210119002940 |
| Provider Name | Monika Thandalam Somasekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619437860 PECOS PAC ID: 1658788203 Enrollment ID: I20220818000548 |
| Provider Name | Cindi Beanland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841908647 PECOS PAC ID: 0840662516 Enrollment ID: I20230206001395 |
| Provider Name | Ganesh Tamang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225748197 PECOS PAC ID: 8224403365 Enrollment ID: I20230403002894 |
| Provider Name | Kimberly Erin Majerowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952182131 PECOS PAC ID: 7810345139 Enrollment ID: I20231128001100 |
| Provider Name | Emily Whitty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215700893 PECOS PAC ID: 8426493065 Enrollment ID: I20240305002073 |
Dept Of Health - Mars Estates School Wellness Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 E Homberg Ave, Essex, MD 21221 Phone: 410-887-4130 Fax: 410-377-9646 | |
Dept Of Health - Middlesex Elem School Wellness Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 Bennett Rd, Essex, MD 21221 Phone: 410-887-4130 Fax: 410-377-9646 | |
Naresh K. Khanna Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Eastern Blvd, Essex, MD 21221 Phone: 410-391-8300 | |
Walgreens#2446 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 South Marlyn Ave, Essex, MD 21221 Phone: 410-918-0790 Fax: 410-918-0796 |