<unavail> in Baltimore, MD - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Baltimore, Maryland. The current practice location for is 22 S Greene St, Baltimore, Maryland. For appointments, you can reach them via phone at (410) 328-8040. The mailing address for is Po Box 64442, Baltimore, Maryland and phone number is (410) 328-8040.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548210156. 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 (410) 328-8040.

Contact Information


	22 S Greene St Baltimore MD 21201-1544
	(410) 328-8040
	(410) 328-0248

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	22 S Greene St, Baltimore, Maryland
Authorized Official Name and Position	Lee Ann Buhrman (DIRECTOR OF PROFESSIONAL FEES)
Authorized Official Contact	4103288040
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 64442 Baltimore MD 21264-4442 Ph: (410) 328-8040	22 S Greene St Baltimore MD 21201-1544 Ph: (410) 328-8040

NPI Details:

NPI Number	1548210156
Provider Enumeration Date	05/12/2006
Last Update Date	03/25/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	2769394808
Medicare Enrollment ID	O20241021001001

Medical Identifiers

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

Identifier	Type	State	Issuer
1548210156	NPI	-	NPPES
1548210156	Medicaid	DE
4005765	Other	TN	BLUE CROSS/BLUE SHIELD
8183201	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	(* (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	Kirti Shetty
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1669472429 PECOS PAC ID: 3173573409 Enrollment ID: I20050125000621

Provider Name	Allison Pullen
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1477915742 PECOS PAC ID: 1557637212 Enrollment ID: I20241021002604

Provider Name	Emily Daniel
Provider Type	Practitioner - Nephrology
Provider Identifiers	NPI Number: 1710333786 PECOS PAC ID: 0244523306 Enrollment ID: I20241110000036

Reviews and Comments

Internal Medicine in Baltimore, MD

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- Medicare Primary Care in Baltimore, MD