| Brad Vincent Spagnolo, MD | |
|
800 Prince Frederick Blvd, Prince Frederick, MD 20678-3145 | |
| (410) 535-2270 | |
| (800) 515-9426 |
| Full Name | Brad Vincent Spagnolo |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 31 Years |
| Location | 800 Prince Frederick Blvd, Prince Frederick, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689679425 | NPI | - | NPPES |
| 111002100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | D0056098 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Eye Care And Laser Center Llc | 2769460971 | 79 |
| Entity Name | Chesapeake Eye Care & Laser Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548296262 PECOS PAC ID: 2769460971 Enrollment ID: O20040713000454 |
| Entity Name | Arturo Betancourt Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396958153 PECOS PAC ID: 4385616291 Enrollment ID: O20040811000482 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Vincent Spagnolo, MD 2661 Riva Rd Ste 1030, Annapolis, MD 21401-7131 Ph: (410) 571-8733 | Brad Vincent Spagnolo, MD 800 Prince Frederick Blvd, Prince Frederick, MD 20678-3145 Ph: (410) 535-2270 |
Dr. Michael Joseph Dodd, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 800 Prince Frederick Blvd, Prince Frederick, MD 20678 Phone: 410-535-2270 Fax: 410-535-9549 | |
Kathleen Haas Miller, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 800 Prince Frederick Blvd., Prince Frederick, MD 20678 Phone: 410-535-2270 Fax: 410-535-5749 | |
Mr. Jason Brent Wanner, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 800 Prince Frederick Blvd., Prince Frederick, MD 20678 Phone: 410-535-2270 Fax: 410-535-5749 |