| Karen Gayle Ganacias, MD | |
|
692a Ritchie Hwy, Severna Park, MD 21146-3971 | |
| (410) 721-2273 | |
| Not Available |
| Full Name | Karen Gayle Ganacias |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 692a Ritchie Hwy, Severna Park, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174834865 | NPI | - | NPPES |
| PENDING | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D86067 (Maryland) | Primary |
| Entity Name | Mgmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Gayle Ganacias, MD 1600 Granby St Apt 456, Norfolk, VA 23510-2661 Ph: (913) 683-5707 | Karen Gayle Ganacias, MD 692a Ritchie Hwy, Severna Park, MD 21146-3971 Ph: (410) 721-2273 |
Mrs. Jacalyn Gordon Ginsberg, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21176 Phone: 410-647-8306 Fax: 410-315-8444 | |
Faith Alice Hackett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 844 Ritchie Hwy, Suite 206, Severna Park, MD 21146 Phone: 410-647-8300 Fax: 410-315-8444 | |
Dr. Robert G. Gibson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 692 Ritchie Hwy # A, Severna Park, MD 21146 Phone: 441-054-4514 |