| Perkis Family Medicine, Llc | |
|
349 E Pulaski Hwy Ste C Elkton MD 21921-6747 | |
| (410) 398-4510 | |
| (410) 398-5160 |
| Full Name | Perkis Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 349 E Pulaski Hwy Ste C, Elkton, Maryland |
| Authorized Official Name and Position | Renee Perkis (OWNER) |
| Authorized Official Contact | 4103984510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perkis Family Medicine, Llc 349 E Pulaski Hwy Ste C Elkton MD 21921-6747 Ph: (410) 398-4510 | Perkis Family Medicine, Llc 349 E Pulaski Hwy Ste C Elkton MD 21921-6747 Ph: (410) 398-4510 |
| NPI Number | 1457306755 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 5799793725 |
|---|---|
| Medicare Enrollment ID | O20060331000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457306755 | NPI | - | NPPES |
| DE6737 | Other | MD | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Renee Perkis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710943956 PECOS PAC ID: 9133113681 Enrollment ID: I20040408001204 |
| Provider Name | Jennifer Leah Venda Jallad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952052508 PECOS PAC ID: 3173919602 Enrollment ID: I20220408000365 |
| Provider Name | Erica Lynn Bessicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992415400 PECOS PAC ID: 8224494844 Enrollment ID: I20230523002841 |
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