| Dr Mary R Clance, MD, MPH | |
|
2001 Medical Pkwy, Acute Care Pavilion, Annapolis, MD 21401-3280 | |
| (443) 481-1000 | |
| (443) 481-6515 |
| Full Name | Dr Mary R Clance |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 2001 Medical Pkwy, Annapolis, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447238282 | NPI | - | NPPES |
| 6263782 | Other | AETNA HMO | |
| S3990059 | Other | BCBS DC | |
| 53072411 | Other | BCBS MARYLAND | |
| 142441600 | Medicaid | MD | |
| 5926262 | Other | AETNA PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D38328 (Maryland) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | D38328 (Maryland) | Secondary |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary R Clance, MD, MPH Po Box 64916, Baltimore, MD 21264-4916 Ph: (443) 481-6469 | Dr Mary R Clance, MD, MPH 2001 Medical Pkwy, Acute Care Pavilion, Annapolis, MD 21401-3280 Ph: (443) 481-1000 |
Gashaw Adugna, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401 Phone: 240-495-4189 | |
Dr. Eugene Thomas Manion, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 900 Bestgate Road, Suite 303, Annapolis, MD 21401 Phone: 410-224-8220 Fax: 410-841-2482 | |
Dr. Lisa A Dimarzio, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2003 Medical Parkway, Suite 100, Annapolis, MD 21401 Phone: 410-573-1110 Fax: 410-266-0714 | |
Dr. Richard A Bernstein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 Defense Hwy, Suite 109, Annapolis, MD 21401 Phone: 401-224-5558 Fax: 410-224-7321 | |
Dr. Jonathan A Altschuler, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy, Ste 500, Annapolis, MD 21401 Phone: 410-573-6480 Fax: 410-573-9413 | |
Dr. Ira M Weinstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy, Suite 607, Annapolis, MD 21401 Phone: 410-266-1644 Fax: 410-266-1642 | |
Dr. James M Blake, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 820 Bestgate Road, Suite 2a, Annapolis, MD 21401 Phone: 410-224-2116 Fax: 410-224-2118 |