| 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 |
| Experience | 44 Years |
| Location | 1111 Mount Hermon Rd, Salisbury, 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 |
|---|---|---|---|
| 1891756748 | NPI | - | NPPES |
| 444681000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | D34976 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peninsula Regional Medical Center | Salisbury, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Urology Associates Llc | 4789673393 | 142 |
| Entity Name | Chesapeake Urology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992520795 PECOS PAC ID: 4789673393 Enrollment ID: O20040510000449 |
| 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 |