Dr Peter Theodore Hetzler Iii, MD, MHS | |
1800 Orleans St, Baltimore, MD 21287-0010 | |
(410) 502-2037 | |
(410) 955-0737 |
Full Name | Dr Peter Theodore Hetzler Iii |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 1800 Orleans St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437619293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0101281009 (Virginia) | Secondary |
208200000X | Plastic Surgery | D0103498 (Maryland) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Theodore Hetzler Iii, MD, MHS 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-2704 | Dr Peter Theodore Hetzler Iii, MD, MHS 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 502-2037 |
Derek Lee Masden, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3333 N Calvert St, Baltimore, MD 21218 Phone: 585-233-9659 | |
Dr. Bao-quynh Thuy Julian, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline St # 8161, Baltimore, MD 21287 Phone: 443-997-9466 Fax: 410-614-4333 | |
Dr. Joseph C Orlando, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5601 Loch Raven Blvd, Suite 101, Pob, Baltimore, MD 21239 Phone: 410-433-4300 Fax: 410-433-4491 | |
Kerry Elizabeth Owens, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Frederick Rd, Suite 200, Baltimore, MD 21228 Phone: 410-744-0900 Fax: 410-744-3160 | |
Dr. James P. Higgins, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3333 N Calvert St, 2nd Fl, Baltimore, MD 21218 Phone: 410-235-5405 | |
Maakan Taghizadeh, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Frederick Rd, Suite 200, Baltimore, MD 21228 Phone: 410-744-0900 Fax: 410-744-3160 | |
Dr. Ronald Paul Silverman, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-2360 |