| Jerry Lee Radas, DC | |
|
7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759-2565 | |
| (301) 490-8550 | |
| (301) 490-8581 |
| Full Name | Jerry Lee Radas |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 33 Years |
| Location | 7625 Maple Lawn Blvd, Fulton, Maryland |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396837753 | NPI | - | NPPES |
| M123JL | Other | MD | CAREFIRST BCBS |
| W3530001 | Other | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | SO1592 (Maryland) | Primary |
| Provider Name | Jerry L. Radas, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538350855 PECOS PAC ID: 3870772536 Enrollment ID: O20110126001106 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Lee Radas, DC 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759-2565 Ph: (301) 490-8550 | Jerry Lee Radas, DC 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759-2565 Ph: (301) 490-8550 |
Tri Kim Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 240-832-7993 | |
Minho Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 | |
John Yongmin Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 | |
Jerry L. Radas, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 7625 Maple Lawn Blvd, Suite 160, Fulton, MD 20759 Phone: 301-490-8550 Fax: 301-490-8581 | |
Dr. Sae June Kim, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11820 W Market Pl Ste K, Fulton, MD 20759 Phone: 301-362-3609 Fax: 301-498-5027 |