| Miracle Medical Llc | |
|
6005 Landover Rd Ste 5 Cheverly MD 20785-1145 | |
| (240) 603-0502 | |
| (443) 790-9236 |
| Full Name | Miracle Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6005 Landover Rd Ste 5, Cheverly, Maryland |
| Authorized Official Name and Position | Tiffany Altamaria Mapp (PHYSICINE) |
| Authorized Official Contact | 2406030502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Medical Llc 6005 Landover Rd Ste 5 Cheverly MD 20785-1145 Ph: (240) 687-8690 | Miracle Medical Llc 6005 Landover Rd Ste 5 Cheverly MD 20785-1145 Ph: (240) 603-0502 |
| NPI Number | 1225644701 |
|---|---|
| Provider Enumeration Date | 09/19/2020 |
| Last Update Date | 08/05/2021 |
| Medicare PECOS PAC ID | 7214341254 |
|---|---|
| Medicare Enrollment ID | O20210202002326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225644701 | NPI | - | NPPES |
| 766166500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
| Provider Name | Tiffany Mapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750680021 PECOS PAC ID: 3476851387 Enrollment ID: I20160408001706 |
Capital Healthcare Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6501 Landover Rd, Cheverly, MD 20785 Phone: 301-772-1133 | |
Prince George's County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr Ste 1055, Cheverly, MD 20785 Phone: 301-583-3700 Fax: 301-583-3735 | |
Affiliated Digestive Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Landover Rd, Suite 3, Cheverly, MD 20785 Phone: 301-773-1111 Fax: 301-773-7869 | |
Medpro Hospitalists Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3001 Hospital Dr, Cheverly, MD 20785 Phone: 301-618-6011 Fax: 301-618-3966 | |
Cheverly Primary Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 Landover Rd Ste G, Cheverly, MD 20785 Phone: 301-322-8000 Fax: 301-322-1757 | |
Dimensions Healthcare Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14999 Health Center Dr, Suite 201, Cheverly, MD 20716 Phone: 301-809-2013 |