Pleasant Valley Primary Care | |
20311 Lappans Rd Ste 100 Boonsboro MD 21713-2086 | |
(301) 573-9453 | |
Not Available |
Full Name | Pleasant Valley Primary Care |
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Speciality | Family Medicine |
Location | 20311 Lappans Rd Ste 100, Boonsboro, Maryland |
Authorized Official Name and Position | Jessica Roelkey (OWNER) |
Authorized Official Contact | 3015739453 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pleasant Valley Primary Care 20311 Lappans Rd Ste 100 Boonsboro MD 21713-2086 Ph: (301) 799-1098 | Pleasant Valley Primary Care 20311 Lappans Rd Ste 100 Boonsboro MD 21713-2086 Ph: (301) 573-9453 |
NPI Number | 1346962149 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 02/02/2023 |
Medicare PECOS PAC ID | 4688047954 |
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Medicare Enrollment ID | O20230307002830 |
Identifier | Type | State | Issuer |
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1346962149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | David Roelkey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497927743 PECOS PAC ID: 6305019431 Enrollment ID: I20210629000291 |
South Mountain Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9 Saint Paul St, Boonsboro, MD 21713 Phone: 301-432-0623 Fax: 301-432-0624 |