| Laurie Bothwell, MD | |
|
103 Bata Blvd, Suite A, Belcamp, MD 21017 | |
| (410) 575-6611 | |
| (410) 273-7509 |
| Full Name | Laurie Bothwell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 103 Bata Blvd, Belcamp, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861537532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | D57084 (Maryland) | Secondary |
| 208000000X | Pediatrics | D57084 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johns Hopkins Community Physicians, Inc | 8325943707 | 683 |
| Entity Name | Johns Hopkins Community Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598868 PECOS PAC ID: 8325943707 Enrollment ID: O20031220000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Bothwell, MD 9910 Franklin Square Dr # 2110, Baltimore, MD 21236-4902 Ph: () - | Laurie Bothwell, MD 103 Bata Blvd, Suite A, Belcamp, MD 21017 Ph: (410) 575-6611 |
Kimmie L Cass, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1307 Cranesbill Ct, Apt. 101, Belcamp, MD 21017 Phone: 410-652-4812 | |
Dr. Marilyn Moshay Cooper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Bata Blvd Ste A, Belcamp, MD 21017 Phone: 410-575-6611 | |
Dr. Vera Elizabeth Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Bata Blvd, Suite A, Belcamp, MD 21017 Phone: 410-575-6611 Fax: 410-575-7408 |