| Maryland Healthcare Pc | |
|
4155 Glen Park Rd Nottingham MD 21236-1019 | |
| (410) 248-0661 | |
| (443) 219-9771 |
| Full Name | Maryland Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4155 Glen Park Rd, Nottingham, Maryland |
| Authorized Official Name and Position | Greg Victor Igot Tampus (OWNER) |
| Authorized Official Contact | 4102480661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Healthcare Pc 216 Oak Valley Dr Bel Air MD 21014-5941 Ph: (410) 248-0661 | Maryland Healthcare Pc 4155 Glen Park Rd Nottingham MD 21236-1019 Ph: (410) 248-0661 |
| NPI Number | 1952732430 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 5698903482 |
|---|---|
| Medicare Enrollment ID | O20140125000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952732430 | NPI | - | NPPES |
| 1356679138 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0076580 (Maryland) | Primary |
| Provider Name | Helen L Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023061025 PECOS PAC ID: 3274799689 Enrollment ID: I20130906000662 |
| Provider Name | Greg Victor Tampus |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356679138 PECOS PAC ID: 2668507278 Enrollment ID: I20140125000233 |
Jeffrey C. Schultz, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8817 Belair Rd, Suite 111, Nottingham, MD 21236 Phone: 410-529-6440 Fax: 410-529-6793 | |
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