| Dr Eboni Woodard, MD | |
|
1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | |
| (410) 737-5340 | |
| (410) 737-5341 |
| Full Name | Dr Eboni Woodard |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 20 Years |
| Location | 1701 Twin Springs Rd, Halethorpe, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700177821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD039945 (District Of Columbia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union Hospital Of Cecil County | Elkton, MD | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Union Hospital Of Cecil County | 6901719822 | 215 |
| Entity Name | Union Hospital Of Cecil County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124067848 PECOS PAC ID: 6901719822 Enrollment ID: O20040121001109 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eboni Woodard, MD 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (410) 737-5346 | Dr Eboni Woodard, MD 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 Ph: (410) 737-5340 |
Nwamaka Tagbo Fadahunsi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 Twin Springs Rd, Halethorpe, MD 21227 Phone: 410-737-5340 |