| Jonathan Maxwell Bodner, MD | |
|
500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | |
| (443) 643-2000 | |
| Not Available |
| Full Name | Jonathan Maxwell Bodner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 Upper Chesapeake Dr, Bel Air, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497383202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | D0097267 (Maryland) | Primary |
| Entity Name | Upper Chesapeake Emergency Medicine Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285854026 PECOS PAC ID: 2860587342 Enrollment ID: O20070927001103 |
| Entity Name | Christiana Care Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871375899 PECOS PAC ID: 8022468057 Enrollment ID: O20240103001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Maxwell Bodner, MD 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 Ph: (443) 643-2000 | Jonathan Maxwell Bodner, MD 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 Ph: (443) 643-2000 |
Dr. Titilayo Olutola Adetu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 443-643-1000 Fax: 904-805-1302 | |
Dr. Lisa Elizabeth Thomas, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 443-643-2000 | |
Carla Janson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 904-805-1300 Fax: 904-805-1302 | |
Dr. Jennifer Ng, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 443-643-2000 | |
Le Nha Lu, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Upper Chesapeake Dr, Emergency Dept, Bel Air, MD 21014 Phone: 444-643-2110 | |
James M. Nold, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Upper Chesapeake Drive, Bel Air, MD 21014 Phone: 443-643-2110 | |
Dr. Demario Montez Butts, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Upper Chesapeake Dr, Bel Air, MD 21014 Phone: 443-643-1000 |