- Medicare Primary Care in Baltimore, MD

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is a medicare enrolled primary clinic (Internal Medicine - Endocrinology, Diabetes & Metabolism) in Baltimore, Maryland. The current practice location for is 3700 Koppers St Ste 510, Baltimore, Maryland. For appointments, you can reach them via phone at (240) 900-8808. The mailing address for is 3700 Koppers St Ste 510, Baltimore, Maryland and phone number is (240) 900-8808.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265183354. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (240) 900-8808.

Contact Information

3700 Koppers St Ste 510
Baltimore
MD 21227-1051
(240) 900-8808
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityInternal Medicine
Location3700 Koppers St Ste 510, Baltimore, Maryland
Authorized Official Name and PositionRichard Gurley (CEO)
Authorized Official Contact5719997973
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

3700 Koppers St Ste 510
Baltimore
MD 21227-1051

Ph: (240) 900-8808
3700 Koppers St Ste 510
Baltimore
MD 21227-1051

Ph: (240) 900-8808

NPI Details:

NPI Number1265183354
Provider Enumeration Date01/11/2022
Last Update Date01/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305239310
Medicare Enrollment IDO20220215000192

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265183354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLinda Yerardi
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1093381402
PECOS PAC ID: 2365842549
Enrollment ID: I20210609001306
Provider NameAnn Hassett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619595246
PECOS PAC ID: 2264838291
Enrollment ID: I20220215000406
Provider NameJill Paulson
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1346357936
PECOS PAC ID: 6608973292
Enrollment ID: I20220222000001
Provider NameJillian Morgan
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1174922595
PECOS PAC ID: 2961747456
Enrollment ID: I20220314000016
Provider NameJennifer Lyons
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1073934451
PECOS PAC ID: 9234568981
Enrollment ID: I20230822004155
Provider NameMegan T Wolf
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1881220960
PECOS PAC ID: 6507295045
Enrollment ID: I20230930000418

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.