Maryland Interventional Pain Management, Llc is a
General Practice based in Baltimore, Maryland. Maryland Interventional Pain Management, Llc is licensed to practice in Maryland (license number 60828) and their current practice location is
1147 S Hanover St, Baltimore, Maryland. It can be reached at their office (for appointments etc.) via phone at
(443) 725-4930.
NPI number for Maryland Interventional Pain Management, Llc is 1053670430 and their current mailing address is 5430 Campbell Blvd, Suite 106, White Marsh, Maryland. Maryland Interventional Pain Management, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1053670430.
Healthcare Provider's Profile
Full Name | Maryland Interventional Pain Management, Llc |
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Type | Facility |
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Speciality | General Practice |
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Location | 1147 S Hanover St, Baltimore, 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: 1053670430
- Provider Enumeration Date: 05/07/2012
- Last Update Date: 05/07/2012
Medical Identifiers
Medical identifiers for Maryland Interventional Pain Management, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053670430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3470 (Maryland) | Secondary |
363A00000X | Physician Assistant | 3825 (Maryland) | Secondary |
363A00000X | Physician Assistant | 3868 (Maryland) | Secondary |
208D00000X | General Practice | 60828 (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. Maryland Interventional Pain Management, 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 |
Maryland Interventional Pain Management, Llc 5430 Campbell Blvd, Suite 106, White Marsh, MD 21162-5500 Ph: (443) 725-4930 | Maryland Interventional Pain Management, Llc 1147 S Hanover St, Baltimore, MD 21230-3717 Ph: (443) 725-4930 |
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