| Michael Levitas, MD | |
| 500 Greene St, Cumberland, MD 21502-2755 | |
| (301) 724-7616 | |
| (301) 724-4811 | 
| Full Name | Michael Levitas | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 500 Greene St, Cumberland, Maryland | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043212459 | NPI | - | NPPES | 
| 531711800 | Medicaid | MD | |
| 0106691000 | Medicaid | WV | |
| 1203115 | Medicaid | PA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | D38222 (Maryland) | Primary | 
| Entity Name | Childrens Medical Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528165750 PECOS PAC ID: 2264400761 Enrollment ID: O20040922000818 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael Levitas, MD 500 Greene St, Cumberland, MD 21502-2755 Ph: (301) 724-7616 | Michael Levitas, MD 500 Greene St, Cumberland, MD 21502-2755 Ph: (301) 724-7616 | 
| Dr. Sue Vauthier Raver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12501 Willowbrook Rd, Allegany County Health Department, Cumberland, MD 21501 Phone: 301-759-5001 Fax: 301-777-5674 | |
| Susan M Nuber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
| Dr. Celestino Monzon Menchavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 915 Bishop Walsh Rd, Cumberland, MD 21502 Phone: 301-777-2722 Fax: 301-777-2736 | |
| Byron A Haworth, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
| Robert J Dawson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 | |
| Rodney A Williams, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Greene St, Cumberland, MD 21502 Phone: 301-724-7616 Fax: 301-724-4811 |