| Dr Laurence John Pezor Jr, MD | |
|
808 S 5th Ave, Denton, MD 21629-1398 | |
| (410) 479-2650 | |
| (833) 908-2283 |
| Full Name | Dr Laurence John Pezor Jr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 43 Years |
| Location | 808 S 5th Ave, Denton, 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 |
|---|---|---|---|
| 1427055946 | NPI | - | NPPES |
| 609550001 | Medicaid | MD | |
| 609550002 | Medicaid | MD | |
| 609550004 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | D0042032 (Maryland) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0042032 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corsica River Mental Health Services, Inc. | 0941497382 | 8 |
| Choptank Community Health System Inc | 0648189274 | 39 |
| Entity Name | University Of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | Choptank Community Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356388599 PECOS PAC ID: 0648189274 Enrollment ID: O20040128000303 |
| Entity Name | Corsica River Mental Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396077749 PECOS PAC ID: 0941497382 Enrollment ID: O20101210000133 |
| Entity Name | Axis Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326295098 PECOS PAC ID: 1254409550 Enrollment ID: O20120919000403 |
| Entity Name | Bridges Behavioral Health & Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205193737 PECOS PAC ID: 0446409957 Enrollment ID: O20120927000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurence John Pezor Jr, MD 808 S 5th Ave, Denton, MD 21629-1398 Ph: (410) 479-2650 | Dr Laurence John Pezor Jr, MD 808 S 5th Ave, Denton, MD 21629-1398 Ph: (410) 479-2650 |
Dr. Martin Brandes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 606 Sunnyside Ave, Caroline Co Mental Health Clinic, Denton, MD 21629 Phone: 410-479-3800 Fax: 410-479-0052 |