| Michelle Marie Skinner, DO | |
|
2401 Brandermill Blvd, Gambrills, MD 21054-1690 | |
| (410) 721-1507 | |
| (410) 721-1510 |
| Full Name | Michelle Marie Skinner |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 2401 Brandermill Blvd, Gambrills, 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 |
|---|---|---|---|
| 1497076814 | NPI | - | NPPES |
| 3810026534 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2747 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health, Inc | Towson, MD | Home health agency |
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 465 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Marie Skinner, DO Po Box 12622, Belfast, ME 04915-4017 Ph: (443) 481-6576 | Michelle Marie Skinner, DO 2401 Brandermill Blvd, Gambrills, MD 21054-1690 Ph: (410) 721-1507 |
Dr. Ian M Shantz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510 | |
Howard Kenneth Schultz Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1438 Defense Highway, Suite 201, Gambrills, MD 21054 Phone: 410-721-3200 Fax: 410-721-2680 | |
Peter Su, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1438 Defense Highway, Suite 201, Gambrills, MD 21054 Phone: 410-721-3200 Fax: 410-721-2680 | |
Dr. David G Freas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 250, Gambrills, MD 21054 Phone: 410-721-1507 Fax: 410-721-1510 | |
Mrs. Colleen King Goode, DNP, MA, FNP-BC, CNE Family Medicine Medicare: Medicare Enrolled Practice Location: 1404 S Main Chapel Way Ste 104, Gambrills, MD 21054 Phone: 443-814-9108 | |
Dr. David Conrad Anderson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 Brandermill Blvd, Suite 360, Gambrills, MD 21054 Phone: 410-721-9862 Fax: 410-721-9865 |