Primary Care Physicians Llc | |
2905 Mitchellville Rd Suite104 Bowie MD 20716-1385 | |
(301) 218-3884 | |
(301) 218-3886 |
Full Name | Primary Care Physicians Llc |
---|---|
Speciality | Internal Medicine |
Location | 2905 Mitchellville Rd, Bowie, Maryland |
Authorized Official Name and Position | Norman C Smith (PHYSICIAN/OWNER) |
Authorized Official Contact | 3012183884 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primary Care Physicians Llc 2905 Mitchellville Rd Suite104 Bowie MD 20716-1385 Ph: (301) 218-3884 | Primary Care Physicians Llc 2905 Mitchellville Rd Suite104 Bowie MD 20716-1385 Ph: (301) 218-3884 |
NPI Number | 1295910792 |
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Provider Enumeration Date | 01/02/2008 |
Last Update Date | 01/09/2012 |
Medicare PECOS PAC ID | 3072771161 |
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Medicare Enrollment ID | O20120221000407 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295910792 | NPI | - | NPPES |
341201600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D41240 (Maryland) | Primary |
Provider Name | Norman C Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184776049 PECOS PAC ID: 1850559949 Enrollment ID: I20120321000194 |
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