| Dr Barry I Bercovitz, MD | |
| 
					1106 Annapolis Rd, Odenton, MD 21113-1637  | |
| (410) 874-1400 | |
| (410) 874-1411 | 
| Full Name | Dr Barry I Bercovitz | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 1106 Annapolis Rd, Odenton, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265536585 | NPI | - | NPPES | 
| 277601400 | Medicaid | MD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | D36033 (Maryland) | Primary | 
| Entity Name | Johns Hopkins Community Physicians, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Barry I Bercovitz, MD 3100 Wyman Park Drive, Suite 359a, Baltimore, MD 21211 Ph: (410) 874-1400  | Dr Barry I Bercovitz, MD 1106 Annapolis Rd, Odenton, MD 21113-1637 Ph: (410) 874-1400  | 
Dr. Wanda Rivera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1132 Annapolis Rd, Odenton, MD 21113 Phone: 410-874-1400  | |
Melissa Nedelka Anderson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1110 Annapolis Rd, Odenton, MD 21113 Phone: 443-351-3917 Fax: 443-351-3918  | |
Dr. Jefferson L Hendrickson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd, Odenton, MD 21113 Phone: 410-874-1400  | |
Ms. Pamela Denise Ponder,  Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2603 Portola Court, Odenton, MD 21113 Phone: 301-377-6891  | |
Dr. Mark H. Davino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd, Suite 310, Odenton, MD 21113 Phone: 410-874-1400 Fax: 410-874-1411  | |
Dr. Holly Eyler-yeatman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Annapolis Rd, Suite 310, Odenton, MD 21113 Phone: 410-874-1400 Fax: 410-874-1411  |