| Pr House Calls | |
|
14408 Woodmore Oaks Ct Bowie MD 20721-1910 | |
| (301) 818-1243 | |
| (240) 435-2692 |
| Full Name | Pr House Calls |
|---|---|
| Speciality | Family Medicine |
| Location | 14408 Woodmore Oaks Ct, Bowie, Maryland |
| Authorized Official Name and Position | Dawne Maria Carroll (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3018181243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pr House Calls 12138 Central Ave # 953 Bowie MD 20721-1910 Ph: (301) 818-1243 | Pr House Calls 14408 Woodmore Oaks Ct Bowie MD 20721-1910 Ph: (301) 818-1243 |
| NPI Number | 1669985248 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 7416290143 |
|---|---|
| Medicare Enrollment ID | O20190521003424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669985248 | NPI | - | NPPES |
| 182901700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | D00042719 (Maryland) | Primary |
| Provider Name | Dawne M Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902917628 PECOS PAC ID: 9739140070 Enrollment ID: I20041027000033 |
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