| Ellis Mez, MD | |
|
1645 Liberty Rd, Suite 204, Eldersburg, MD 21784-6521 | |
| (410) 795-7737 | |
| (410) 795-2828 |
| Full Name | Ellis Mez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 48 Years |
| Location | 1645 Liberty Rd, Eldersburg, 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 |
|---|---|---|---|
| 1023029956 | NPI | - | NPPES |
| 245377YEVB | Other | MD | MEDICARE ID |
| 328231700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D22220 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebridge Primary Care Of Eldersburg Llc | 0345465654 | 5 |
| Entity Name | Lifebridge Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174815807 PECOS PAC ID: 3678751468 Enrollment ID: O20110627000318 |
| Entity Name | Lifebridge Primary Care Of Eldersburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720404015 PECOS PAC ID: 0345465654 Enrollment ID: O20140630001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Mez, MD 1645 Liberty Rd, Suite 204, Eldersburg, MD 21784-6521 Ph: (410) 795-7737 | Ellis Mez, MD 1645 Liberty Rd, Suite 204, Eldersburg, MD 21784-6521 Ph: (410) 795-7737 |
Florin Ioan Niculescu, M.D. PHD. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6190 Georgetown Blvd, Suite 110, Eldersburg, MD 21784 Phone: 410-795-9700 Fax: 410-795-7500 | |
Dr. William George Tan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 Liberty Rd, Eldersburg, MD 21784 Phone: 410-795-7737 Fax: 410-795-2828 | |
Dr. Steven Billet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1137 Liberty Rd, Eldersburg, MD 21784 Phone: 410-795-0929 Fax: 410-795-0149 | |
Matthew G Poffenroth, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6190 Georgetown Blvd, Eldersburg, MD 21784 Phone: 410-552-5050 Fax: 410-552-0200 | |
Teodora M. Niculescu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6190 Georgetown Blvd, Suite 110, Eldersburg, MD 21784 Phone: 410-795-9700 Fax: 410-795-7500 | |
Dr. Eileen S Wiesenberger, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6190 Georgetown Blvd, Eldersburg, MD 21784 Phone: 410-552-5050 |