| Dr Gwenneth O Cancino, MD | |
|
115 W Bel Air Avenue, Aberdeen, MD 21001-3221 | |
| (410) 272-3377 | |
| (410) 273-1479 |
| Full Name | Dr Gwenneth O Cancino |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 115 W Bel Air Avenue, Aberdeen, 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 |
|---|---|---|---|
| 1487657227 | NPI | - | NPPES |
| H9660002 | Other | MD | CAREFIRST OF DC |
| 53276204 | Other | MD | CAREFIRST OF MD |
| 323951900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0046268 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Primary Care Llc | 7214183227 | 2 |
| Entity Name | Prohealth Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982962692 PECOS PAC ID: 7214183227 Enrollment ID: O20120807000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gwenneth O Cancino, MD 115 W Bel Air Avenue, Aberdeen, MD 21001-3221 Ph: (410) 272-1692 | Dr Gwenneth O Cancino, MD 115 W Bel Air Avenue, Aberdeen, MD 21001-3221 Ph: (410) 272-3377 |
Dr. Bruce C Kinzinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 Hospitality Way, Aberdeen, MD 21001 Phone: 410-306-7880 Fax: 410-306-7881 | |
Ms. Tatyauna Lanier, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Mchenry Rd, Aberdeen, MD 21001 Phone: 443-843-6262 | |
Dr. Andrew Mrowiec, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9 Aberdeen Shopping Plz, Aberdeen, MD 21001 Phone: 410-272-8844 Fax: 410-272-8910 | |
Christian Zhang, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 Hospitality Way, Aberdeen, MD 21001 Phone: 410-306-7880 |