| Dr Paul Taylor Livengood, MD | |
|
912 Seton Dr, Cumberland, MD 21502-1818 | |
| (301) 722-3111 | |
| (301) 722-5135 |
| Full Name | Dr Paul Taylor Livengood |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 49 Years |
| Location | 912 Seton Dr, Cumberland, 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 |
|---|---|---|---|
| 1275598120 | NPI | - | NPPES |
| P11372 | Other | MD | BCBS POS |
| 1266849 | Other | UNITED HEALTHCARE | |
| 110098979 | Other | MD | RAILROAD MEDICARE |
| LI0467843 | Other | WV | WV MEDICARE PROVIDER NUMBER |
| W3990003 | Other | MD | BCBS FEDERAL |
| 0056043000 | Medicaid | WV | |
| 00716943 | Other | WV | BCBS PROVIDER # |
| 080006019 | Other | WV | RAILROAD MEDICARE |
| 104012132 | Other | CIGNA | |
| 343101100 | Medicaid | MD | |
| W399 | Other | WV | BCBS FEDERAL PIN # |
| 0003 | Other | WV | BCBS FEDERAL GROUP # |
| 417071-01 | Other | MD | BCBS |
| 850290 | Other | MDIPA - OPTIMUM CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11172 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | D0023774 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Maryland Regional Medical Center | Cumberland, MD | Hospital |
| Potomac Valley Hospital | Keyser, WV | Hospital |
| Hampshire Memorial Hospital | Romney, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Braddock Medical Group Pa | 2163419268 | 2 |
| Entity Name | Braddock Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710980081 PECOS PAC ID: 2163419268 Enrollment ID: O20040429001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Taylor Livengood, MD 912 Seton Dr, Cumberland, MD 21502-1818 Ph: (301) 722-3111 | Dr Paul Taylor Livengood, MD 912 Seton Dr, Cumberland, MD 21502-1818 Ph: (301) 722-3111 |
Dr. Raymond E Banfer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 Kelly Rd, Cumberland, MD 21502 Phone: 301-722-3270 Fax: 301-722-3276 | |
Dr. Isaias G Tessema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13800 Mcmullen Hwy Sw, Cumberland, MD 21502 Phone: 301-729-7115 Fax: 301-729-9260 | |
Daniyah Ali Elagi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12500 Willowbrook Rd, Cumberland, MD 21502 Phone: 806-414-9493 | |
Holly Hoover, CRNP, AGNP, PMHNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 14100 Mcmullen Hwy Sw, Cumberland, MD 21502 Phone: 301-729-7570 Fax: 301-729-7580 | |
Jared Mathews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 925 Bishop Walsh Rd Ste 4, Cumberland, MD 21502 Phone: 301-777-5326 Fax: 301-777-0325 | |
James R Moen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1068 National Highway Rear, Cumberland, MD 21502 Phone: 301-729-8380 Fax: 301-729-0245 | |
Dr. Gary L Wagoner, MD P A Family Medicine Medicare: Medicare Enrolled Practice Location: 925 Bishop Walsh Rd, Suite 4, Cumberland, MD 21502 Phone: 301-777-5326 Fax: 301-777-0325 |