| Albert Villarosa, | |
|
400 W 7th St, Frederick, MD 21701-4506 | |
| (240) 566-3330 | |
| Not Available |
| Full Name | Albert Villarosa |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 400 W 7th St, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306881701 | NPI | - | NPPES |
| 605131600 | Medicaid | MD | |
| 762671100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | D0052056 (Maryland) | Primary |
| Entity Name | Pinnacle Health Observation Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316341241 PECOS PAC ID: 9537481528 Enrollment ID: O20141202001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Villarosa, Po Box 730, Frederick, MD 21705-0730 Ph: (301) 631-9191 | Albert Villarosa, 400 W 7th St, Frederick, MD 21701-4506 Ph: (240) 566-3330 |
Leonard Anatoly Kazanov, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5930 Frederick Crossing Ln, Frederick, MD 21704 Phone: 240-379-7776 Fax: 240-379-7787 | |
Yechen Pi, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 W 7th St, Emergency Department, Frederick, MD 21701 Phone: 240-566-3500 | |
Dr. Michael Jay Pepper, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3500 | |
Mark Kline, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3330 | |
Jeffrey Fillmore, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3330 | |
Duc Le, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3300 |