| Norman G. Mckoy Md & Associates Pa | |
|
10274 Lake Arbor Way Suite 202 Mitchellville MD 20721-3146 | |
| (301) 336-9065 | |
| (301) 336-6909 |
| Full Name | Norman G. Mckoy Md & Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10274 Lake Arbor Way, Mitchellville, Maryland |
| Authorized Official Name and Position | Norman G. Mckoy (MEDICAL DOCTOR) |
| Authorized Official Contact | 3013369065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman G. Mckoy Md & Associates Pa 10274 Lake Arbor Way Suite 202 Mitchellville MD 20721-3146 Ph: (301) 336-9065 | Norman G. Mckoy Md & Associates Pa 10274 Lake Arbor Way Suite 202 Mitchellville MD 20721-3146 Ph: (301) 336-9065 |
| NPI Number | 1801047055 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 08/07/2014 |
| Medicare PECOS PAC ID | 1355419011 |
|---|---|
| Medicare Enrollment ID | O20081007000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801047055 | NPI | - | NPPES |
| 0733-0001 | Other | DC | BLUECROSS BLUESHIELD-DC |
| 0660019-00 | Medicaid | MD | |
| 06980 | Other | MD | AMERICAID |
| 7946 | Other | MD | BLUECROSS BLUESHIELD OF MARYLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D35947 (Maryland) | Primary |
| Provider Name | Norman G Mckoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699840355 PECOS PAC ID: 0648348300 Enrollment ID: I20081007000854 |
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