Medical Practices Of Antietam Llc is a
Otolaryngology based in Hagerstown, Maryland. Medical Practices Of Antietam Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
11110 Medical Campus Rd Ste 250, Hagerstown, Maryland. It can be reached at their office (for appointments etc.) via phone at
(301) 790-8000.
NPI number for Medical Practices Of Antietam Llc is 1992695480 and their current mailing address is 11110 Medical Campus Rd Ste 250, Hagerstown, Maryland. Medical Practices Of Antietam Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1992695480.
Healthcare Provider's Profile
Full Name | Medical Practices Of Antietam Llc |
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Type | Facility |
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Speciality | Otolaryngology |
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Location | 11110 Medical Campus Rd Ste 250, 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: 1992695480
- Provider Enumeration Date: 07/07/2025
- Last Update Date: 07/07/2025
Medical Identifiers
Medical identifiers for Medical Practices Of Antietam Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992695480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | (* (Not Available)) | Secondary |
207Y00000X | Otolaryngology | (* (Not Available)) | 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. Medical Practices Of Antietam Llc 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 |
Medical Practices Of Antietam Llc 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 Ph: () - | Medical Practices Of Antietam Llc 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742-6756 Ph: (301) 790-8000 |
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