Silver Spring Medical Center Llc is a medicare enrolled "Family Medicine" provider in Wheaton, Maryland. Their current practice location is
11301 Amherst Ave Ste 102, Wheaton, Maryland. You can reach out to their office (for appointments etc.) via phone at
(301) 933-7827.
Silver Spring Medical Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Silver Spring Medical Center Llc
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 1568792059.
Healthcare Provider's Profile
| Full Name | Silver Spring Medical Center Llc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 11301 Amherst Ave Ste 102, Wheaton, 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: 1568792059
- Provider Enumeration Date: 01/05/2010
- Last Update Date: 06/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 5799820619
- Enrollment ID: O20100303000789
Medical Identifiers
Medical identifiers for Silver Spring Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568792059 | NPI | - | NPPES |
| 6463990001 | Other | | MEDICARE NSC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Silver Spring Medical Center Llc acts as a billing entity for following providers:
| Provider Name | John R Melmed |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1932179108
PECOS PAC ID: 0143293316
Enrollment ID: I20100317000597 |
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| Provider Name | Rudolph Jeffries |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1447293964
PECOS PAC ID: 5294868444
Enrollment ID: I20140204000577 |
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| Provider Name | Israel C Juskowicz |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1780818757
PECOS PAC ID: 8224256383
Enrollment ID: I20140903000030 |
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| Provider Name | Kathryn Elizabeth Johnson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1104416452
PECOS PAC ID: 1557776168
Enrollment ID: I20210706002651 |
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| Provider Name | Barbara Ann Kindle |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1831852904
PECOS PAC ID: 2466843529
Enrollment ID: I20211228000093 |
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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. Silver Spring Medical Center Llc 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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Silver Spring Medical Center Llc
11006 Veirs Mill Rd # L15-282,
Silver Spring, MD 20902-2582
Ph: (301) 933-7827 | Silver Spring Medical Center Llc
11301 Amherst Ave Ste 102,
Wheaton, MD 20902-4665
Ph: (301) 933-7827 |
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