| Mark John Baskerville, MD | |
|
5755 Cedar Ln, Columbia, MD 21044-2912 | |
| (410) 884-8688 | |
| Not Available |
| Full Name | Mark John Baskerville |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 31 Years |
| Location | 5755 Cedar Ln, Columbia, 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 |
|---|---|---|---|
| 1306801824 | NPI | - | NPPES |
| 50086273 | Other | OR | RAILROAD MEDICARE |
| A048 | Other | OR | TRICARE |
| 286886 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | D54897 (Maryland) | Secondary |
| 207L00000X | Anesthesiology | MD23614 (Oregon) | Secondary |
| 207P00000X | Emergency Medicine | D0054897 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Suburban Hospital | Bethesda, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Johns Hopkins Community Physicians, Inc | 8325943707 | 760 |
| University Anesthesiology Associates Llc | 6901702869 | 239 |
| Entity Name | Johns Hopkins Community Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255359972 PECOS PAC ID: 8325943707 Enrollment ID: O20040130000162 |
| Entity Name | First Colonies Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040607001456 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark John Baskerville, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-0000 | Mark John Baskerville, MD 5755 Cedar Ln, Columbia, MD 21044-2912 Ph: (410) 884-8688 |
Dr. Wynne Breed, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7777 Fax: 410-740-7551 | |
Mayuri Patel, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 443-718-3737 | |
Danielle K Matilsky, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8482 | |
Levan Kuck, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-550-9720 | |
Dr. Christopher El Khuri, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890 | |
Dr. Igor Kukelyansky, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 443-540-2277 | |
Selamawit Getachew, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-550-9720 |