| Value In Prevention Of Maryland, Llc | |
|
5530 Wisconsin Avenue Suite 1445 Chevy Chase MD 20815-4404 | |
| (301) 634-1345 | |
| Not Available |
| Full Name | Value In Prevention Of Maryland, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5530 Wisconsin Avenue, Chevy Chase, Maryland |
| Authorized Official Name and Position | Andrea Klemes (MEMBER) |
| Authorized Official Contact | 5619824300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Value In Prevention Of Maryland, Llc 4950 Communication Avenue Suite 100 Boca Raton FL 33431-3307 Ph: (561) 982-4300 | Value In Prevention Of Maryland, Llc 5530 Wisconsin Avenue Suite 1445 Chevy Chase MD 20815-4404 Ph: (301) 634-1345 |
| NPI Number | 1225563232 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 01/16/2018 |
| Medicare PECOS PAC ID | 5193089472 |
|---|---|
| Medicare Enrollment ID | O20180515000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225563232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharon A Scanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376557884 PECOS PAC ID: 4587856141 Enrollment ID: I20101014000537 |
| Provider Name | Tracie L Lanter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376604496 PECOS PAC ID: 4981870243 Enrollment ID: I20120109000350 |
| Provider Name | Erica Dewitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962820688 PECOS PAC ID: 7012210321 Enrollment ID: I20220120002728 |
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