Charles J Supernavage, Md, Pc is a
Otolaryngology based in Hagerstown, Maryland. Charles J Supernavage, Md, Pc is licensed to practice in Maryland (license number D0026440) and their current practice location is
201 S Cleveland Ave, Suite 403, Hagerstown, Maryland. It can be reached at their office (for appointments etc.) via phone at
(301) 739-0400.
NPI number for Charles J Supernavage, Md, Pc is 1639337405 and their current mailing address is 201 S Cleveland Ave, Suite 403, Hagerstown, Maryland. Charles J Supernavage, Md, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1639337405.
Healthcare Provider's Profile
Full Name | Charles J Supernavage, Md, Pc |
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Type | Facility |
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Speciality | Otolaryngology |
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Location | 201 S Cleveland Ave, Hagerstown, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639337405
- Provider Enumeration Date: 05/29/2008
- Last Update Date: 05/29/2008
Medical Identifiers
Medical identifiers for Charles J Supernavage, Md, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639337405 | NPI | - | NPPES |
314681200 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 00963 (Maryland) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 00963 (Maryland) | Secondary |
207Y00000X | Otolaryngology | D0026440 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles J Supernavage, Md, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles J Supernavage, Md, Pc 201 S Cleveland Ave, Suite 403, Hagerstown, MD 21740-5745 Ph: (301) 739-0400 | Charles J Supernavage, Md, Pc 201 S Cleveland Ave, Suite 403, Hagerstown, MD 21740-5745 Ph: (301) 739-0400 |
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