<unavail> in Frederick, MD - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Frederick, Maryland. The current practice location for is 141 Thomas Johnson Dr Ste 100, Frederick, Maryland. For appointments, you can reach them via phone at (301) 228-9123. The mailing address for is 141 Thomas Johnson Dr Ste 100, Frederick, Maryland and phone number is (301) 228-9123.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033676143. 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 (301) 228-9123.

Contact Information


	141 Thomas Johnson Dr Ste 100 Frederick MD 21702-4509
	(301) 228-9123
	(855) 760-5009

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	141 Thomas Johnson Dr Ste 100, Frederick, Maryland
Authorized Official Name and Position	Usha Sivakumar (PHYSICIAN)
Authorized Official Contact	3012289123
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
141 Thomas Johnson Dr Ste 100 Frederick MD 21702-4509 Ph: (301) 228-9123	141 Thomas Johnson Dr Ste 100 Frederick MD 21702-4509 Ph: (301) 228-9123

NPI Details:

NPI Number	1033676143
Provider Enumeration Date	02/25/2019
Last Update Date	03/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1557697018
Medicare Enrollment ID	O20190723000584

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033676143	NPI	-	NPPES
1053193193	Other	MD	BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (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 Name	Usha Sivakumar
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1124001540 PECOS PAC ID: 4486730777 Enrollment ID: I20170619001083

Provider Name	Sangita Basnet
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1053193193 PECOS PAC ID: 9133568967 Enrollment ID: I20240412003043

Reviews and Comments

Internal Medicine in Frederick, MD

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- Medicare Primary Care in Frederick, MD