Provider Partners Care Management Lp | |
785 Elkridge Landing Rd Ste 300 Linthicum MD 21090-2958 | |
(410) 967-2097 | |
Not Available |
Full Name | Provider Partners Care Management Lp |
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Speciality | Nurse Practitioner |
Location | 785 Elkridge Landing Rd Ste 300, Linthicum, Maryland |
Authorized Official Name and Position | Keith D Persinger (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 4432759800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Provider Partners Care Management Lp 785 Elkridge Landing Rd Ste 300 Linthicum MD 21090-2958 Ph: (410) 967-2097 | Provider Partners Care Management Lp 785 Elkridge Landing Rd Ste 300 Linthicum MD 21090-2958 Ph: (410) 967-2097 |
NPI Number | 1013348028 |
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Provider Enumeration Date | 12/02/2013 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 9335379270 |
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Medicare Enrollment ID | O20140220001179 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013348028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Suja V Abraham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275911307 PECOS PAC ID: 5092027052 Enrollment ID: I20150702002438 |
Provider Name | Carmen Mays-gold |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093168619 PECOS PAC ID: 3476821844 Enrollment ID: I20170608001323 |
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