| Maryland Elder Care Llc | |
|
2131 Davidsonville Rd Crofton MD 21114-1632 | |
| (410) 507-7617 | |
| Not Available |
| Full Name | Maryland Elder Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2131 Davidsonville Rd, Crofton, Maryland |
| Authorized Official Name and Position | Megan Grey (OWNER) |
| Authorized Official Contact | 4109957439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Elder Care Llc 542 Fairmount Rd Linthicum MD 21090-2842 Ph: (410) 995-7439 | Maryland Elder Care Llc 2131 Davidsonville Rd Crofton MD 21114-1632 Ph: (410) 507-7617 |
| NPI Number | 1063147395 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 8628452836 |
|---|---|
| Medicare Enrollment ID | O20220907000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063147395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| Provider Name | Yogesh Vohra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598785412 PECOS PAC ID: 8426059148 Enrollment ID: I20070124000232 |
| Provider Name | Megan E Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730506304 PECOS PAC ID: 0941433221 Enrollment ID: I20140513000615 |
| Provider Name | Charles M Mugera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689938235 PECOS PAC ID: 7113234261 Enrollment ID: I20160608002420 |
| Provider Name | Nirmala Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651680 PECOS PAC ID: 1759626179 Enrollment ID: I20181213000017 |
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