Menocal Medical Services Pa | |
110 Baughmans Ln Suite 140 Frederick MD 21702-4059 | |
(240) 215-1138 | |
(240) 215-1140 |
Full Name | Menocal Medical Services Pa |
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Speciality | Family Medicine |
Location | 110 Baughmans Ln, Frederick, Maryland |
Authorized Official Name and Position | Julio Jose Menocal (PRESIDENT) |
Authorized Official Contact | 2402151138 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Menocal Medical Services Pa Po Box 1149 Frederick MD 21702-0149 Ph: () - | Menocal Medical Services Pa 110 Baughmans Ln Suite 140 Frederick MD 21702-4059 Ph: (240) 215-1138 |
NPI Number | 1083795918 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 08/11/2014 |
Medicare PECOS PAC ID | 1951405216 |
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Medicare Enrollment ID | O20070327000511 |
Identifier | Type | State | Issuer |
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1083795918 | NPI | - | NPPES |
532403300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | D31912 (Maryland) | Primary |
Provider Name | Julio Menocal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164492401 PECOS PAC ID: 6103920368 Enrollment ID: I20070327000638 |
Provider Name | Mohammed S Ali |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1083783872 PECOS PAC ID: 9133350721 Enrollment ID: I20140325000346 |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 |