Fidel Integrated Medical Solutions Pc is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Baltimore, Maryland. Their current practice location is
1866f Reisterstown Rd, Baltimore, Maryland. You can reach out to their office (for appointments etc.) via phone at
(410) 484-5642.
Fidel Integrated Medical Solutions Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fidel Integrated Medical Solutions Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1770968687.
Healthcare Provider's Profile
| Full Name | Fidel Integrated Medical Solutions Pc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1866f Reisterstown Rd, Baltimore, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770968687
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 06/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406165521
- Enrollment ID: O20151012001331
Medical Identifiers
Medical identifiers for Fidel Integrated Medical Solutions Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770968687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 133NN1002X | Nutritionist - Nutrition, Education | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fidel Integrated Medical Solutions Pc acts as a billing entity for following providers:
| Provider Name | Ilene E Fidel |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1003995879
PECOS PAC ID: 1951347178
Enrollment ID: I20050630000755 |
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| Provider Name | Adam M Fidel |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1154490050
PECOS PAC ID: 7618901158
Enrollment ID: I20050923000150 |
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| Provider Name | Robin G Korotki |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1235139064
PECOS PAC ID: 1153496310
Enrollment ID: I20080822000199 |
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| Provider Name | Mary E Anderson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1225418221
PECOS PAC ID: 9537478680
Enrollment ID: I20180507000314 |
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| Provider Name | Brittany Ruth |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1134753791
PECOS PAC ID: 4486076809
Enrollment ID: I20200612000017 |
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| Provider Name | Antoine Jerrell Wright |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1306439492
PECOS PAC ID: 8729494893
Enrollment ID: I20210316000473 |
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| Provider Name | Kelly Keller-james |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1427766203
PECOS PAC ID: 0941675490
Enrollment ID: I20230414000384 |
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| Provider Name | Ashley Marie Lewis |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1396574240
PECOS PAC ID: 6002334489
Enrollment ID: I20250520000020 |
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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. Fidel Integrated Medical Solutions Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Fidel Integrated Medical Solutions Pc
1866f Reisterstown Rd,
Baltimore, MD 21208-1335
Ph: (410) 484-5642 | Fidel Integrated Medical Solutions Pc
1866f Reisterstown Rd,
Baltimore, MD 21208-1335
Ph: (410) 484-5642 |
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