Second Genesis, Inc. - Primary Care in Crownsville, MD

Second Genesis, Inc. is a primary clinic (Substance Abuse Rehabilitation Facility) in Crownsville, Maryland. The current practice location for Second Genesis, Inc. is 107 Circle Dr, Crownsville, Maryland. For appointments, you can reach them via phone at (301) 621-9013. The mailing address for Second Genesis, Inc. is 8611 2nd Ave, Suite 300, Silver Spring, Maryland and phone number is (301) 563-1545.

Second Genesis, Inc. is licensed to practice in Maryland (license number 1053589242) and its NPI number is 1427352681. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (301) 621-9013.

Contact Information

Second Genesis, Inc.
107 Circle Dr
Crownsville
MD 21032-2061
(301) 621-9013
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSecond Genesis, Inc.
SpecialitySubstance Abuse Rehabilitation Facility
Location107 Circle Dr, Crownsville, Maryland
Authorized Official Name and PositionMark Segal (DIRECTOR OF CLINICAL OPERATIONS)
Authorized Official Contact3015631545
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Second Genesis, Inc.
8611 2nd Ave
Suite 300
Silver Spring
MD 20910-3372

Ph: (301) 563-1545
Second Genesis, Inc.
107 Circle Dr
Crownsville
MD 21032-2061

Ph: (301) 621-9013

NPI Details:

NPI Number1427352681
Provider Enumeration Date01/03/2011
Last Update Date01/03/2011

Medical Identifiers

Medical identifiers for Second Genesis, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427352681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 904039 (Maryland)Secondary
261QR0401XClinic/center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) 904039 (Maryland)Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder 904039 (Maryland)Secondary
324500000XSubstance Abuse Rehabilitation Facility 1053589242 (Maryland)Primary

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.

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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.