The Physicians Group Chartered | |
601 Post Office Rd Suite 1-a Waldorf MD 20602-1912 | |
(301) 638-0186 | |
(301) 843-6857 |
Full Name | The Physicians Group Chartered |
---|---|
Speciality | General Practice |
Location | 601 Post Office Rd, Waldorf, Maryland |
Authorized Official Name and Position | Michael Anthony Pimentel (TREASURER) |
Authorized Official Contact | 3016380186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
The Physicians Group Chartered 601 Post Office Rd Suite 1-a Waldorf MD 20602-1912 Ph: (301) 638-0186 | The Physicians Group Chartered 601 Post Office Rd Suite 1-a Waldorf MD 20602-1912 Ph: (301) 638-0186 |
NPI Number | 1881780211 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 03/22/2011 |
Medicare PECOS PAC ID | 8820261886 |
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Medicare Enrollment ID | O20111108000188 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881780211 | NPI | - | NPPES |
203631200 | Medicaid | MD |
Provider Name | Benjamin R Pimentel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1043325392 PECOS PAC ID: 1658544655 Enrollment ID: I20130304000369 |
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