| Harold I Genvert, MD | |
| 
					1111 Mount Hermon Rd, Salisbury, MD 21804-5109  | |
| (410) 546-2133 | |
| Not Available | 
| Full Name | Harold I Genvert | 
|---|---|
| Gender | Male | 
| Speciality | Urology | 
| Location | 1111 Mount Hermon Rd, Salisbury, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891756748 | NPI | - | NPPES | 
| 444681000 | Medicaid | MD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208800000X | Urology | D34976 (Maryland) | Primary | 
| Entity Name | Chesapeake Urology Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043719123 PECOS PAC ID: 4789673393 Enrollment ID: O20180516000311  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Harold I Genvert, MD 10200 Grand Central Ave Ste 220, Owings Mills, MD 21117-4366 Ph: () -  | Harold I Genvert, MD 1111 Mount Hermon Rd, Salisbury, MD 21804-5109 Ph: (410) 546-2133  | 
Dr. Alyssa Kay Gracely, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1111 Mount Hermon Rd, Salisbury, MD 21804 Phone: 866-953-3111  | |
Thomas M Demarco, MD Urology Medicare: Medicare Enrolled Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 410-543-7252  | |
Dr. Mark S Shimko, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1342 S Division St, #401, Salisbury, MD 21804 Phone: 410-546-2133 Fax: 410-548-3361  |