| Candice A Peters, MD | |
|
157 Baltimore St, Cumberland, MD 21502 | |
| (301) 722-3215 | |
| Not Available |
| Full Name | Candice A Peters |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 157 Baltimore St, Cumberland, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548468150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MT191350 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | D72778 (Maryland) | Primary |
| Entity Name | Susquehanna Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629006606 PECOS PAC ID: 2264336460 Enrollment ID: O20040702000607 |
| Mailing Address | Practice Location Address |
|---|---|
| Candice A Peters, MD 13927 Old Stage Rd, Bowie, MD 20720-4813 Ph: () - | Candice A Peters, MD 157 Baltimore St, Cumberland, MD 21502 Ph: (301) 722-3215 |
Dr. Joseph Andrew Dekker, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 157 Baltimore St, Cumberland, MD 21502 Phone: 301-722-3215 | |
William Russell, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 500 Memorial Ave, Cumberland, MD 21502 Phone: 301-723-4380 |