Prohealth Primary Care Llc - Medicare Primary Care in Aberdeen, MD

Prohealth Primary Care Llc is a medicare enrolled primary clinic (Pediatrics) in Aberdeen, Maryland. The current practice location for Prohealth Primary Care Llc is 115 W Bel Air Ave, Aberdeen, Maryland. For appointments, you can reach them via phone at (410) 272-3377. The mailing address for Prohealth Primary Care Llc is 115 W Bel Air Ave, Aberdeen, Maryland and phone number is (410) 272-3377.

Prohealth Primary Care Llc is licensed to practice in Maryland (license number D0059126). The clinic also participates in the medicare program and its NPI number is 1982962692. 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) 272-3377.

Contact Information

Prohealth Primary Care Llc
115 W Bel Air Ave
Aberdeen
MD 21001-3221
(410) 272-3377
(410) 273-1479

Map and Direction


Primary Care Clinic Profile

Full NameProhealth Primary Care Llc
SpecialityPediatrics
Location115 W Bel Air Ave, Aberdeen, Maryland
Authorized Official Name and PositionNathaniel Sumilang (PHYSICIAN/OWNER)
Authorized Official Contact4102723377
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prohealth Primary Care Llc
115 W Bel Air Ave
Aberdeen
MD 21001-3221

Ph: (410) 272-3377
Prohealth Primary Care Llc
115 W Bel Air Ave
Aberdeen
MD 21001-3221

Ph: (410) 272-3377

NPI Details:

NPI Number1982962692
Provider Enumeration Date05/01/2012
Last Update Date05/01/2012

Medicare PECOS Information:

Medicare PECOS PAC ID7214183227
Medicare Enrollment IDO20120807000661

Medical Identifiers

Medical identifiers for Prohealth Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982962692NPI-NPPES
402019701MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine M38486 (Maryland)Secondary
208000000XPediatrics D0059126 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prohealth Primary Care Llc acts as a billing entity for following providers:
Provider NameGwenneth O Cancino
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487657227
PECOS PAC ID: 3072412188
Enrollment ID: I20101122000020
Provider NameNathaniel M Sumilang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932192754
PECOS PAC ID: 4486800497
Enrollment ID: I20120807000687
Provider NameChristopher James Cancino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316326846
PECOS PAC ID: 4688024714
Enrollment ID: I20240102001243

Reviews and Comments


Pediatrics in Aberdeen, MD

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Practice Location: 219 W Bel Air Ave, Suite 2, Aberdeen, MD 21001
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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.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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.