Dr Wilfred R Ehrmantraut Jr, MD is a medicare enrolled "Plastic Surgery" physician in Prince Frederick, Maryland. He went to George Washington University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Calverthealth Medical Group, Llc and his current practice location is
70 Sherry Ln, Suite 203, Prince Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 414-9844.
Dr Wilfred R Ehrmantraut Jr is licensed to practice in Maryland (license number D0059299) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952480733.
Physician's Profile
| Full Name | Dr Wilfred R Ehrmantraut Jr |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 29 Years |
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| Location | 70 Sherry Ln, Prince Frederick, Maryland |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Wilfred R Ehrmantraut Jr attended and graduated from George Washington University School Of Medicine in 1995
NPI Data:
- NPI Number: 1952480733
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 09/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416903141
- Enrollment ID: I20110119000883
Medical Identifiers
Medical identifiers for Dr Wilfred R Ehrmantraut Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952480733 | NPI | - | NPPES |
| 2956889 | Other | MD | AETNA HMO |
| 41312102 | Other | MD | RENDERING BC/BS ID# MD |
| 401242900 | Medicaid | MD | |
| 1300392 | Other | MD | UNITED HEALTHCARE |
| 7534379 | Other | MD | AETNA PPO |
| G616-0001 | Other | MD | FEDERAL/DC/BLUECHOICE |
| 3102788 | Other | MD | ALLIANCE |
| KDC3 | Other | MD | CAREFIRST MARYLAND |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | D0059299 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Calverthealth Medical Group, Llc | 2163562695 | 38 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Wilfred R Ehrmantraut Jr allows following entities to bill medicare on his behalf.
| Entity Name | Calverthealth Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386871390
PECOS PAC ID: 2163562695
Enrollment ID: O20091215000115 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wilfred R Ehrmantraut Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Wilfred R Ehrmantraut Jr, MD
110 Hospital Rd Ste 210,
Prince Frederick, MD 20678-4040
Ph: (410) 414-9844 | Dr Wilfred R Ehrmantraut Jr, MD
70 Sherry Ln, Suite 203,
Prince Frederick, MD 20678-3275
Ph: (410) 414-9844 |
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