| Renette Belizaire, MD | |
|
9692 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 | |
| (301) 599-7300 | |
| (301) 599-0476 |
| Full Name | Renette Belizaire |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9692 Pennsylvania Ave, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295871309 | NPI | - | NPPES |
| 025800800 | Other | MD | PRACTICE MMA ID# |
| 669520500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | D0051975 (Maryland) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | D0051975 (Maryland) | Secondary |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Renette Belizaire, MD 9692 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 Ph: (301) 599-7300 | Renette Belizaire, MD 9692 Pennsylvania Ave, Upper Marlboro, MD 20772-3670 Ph: (301) 599-7300 |
Carleen Townsend-akpan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14204 Water Fowl Way, Upper Marlboro, MD 20774 Phone: 301-249-0130 | |
Dr. Jill A Pellicoro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772 Phone: 301-599-7300 Fax: 301-599-0476 | |
Sheila J Mosee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9440 Pennsylvania Ave, #160, Upper Marlboro, MD 20772 Phone: 301-599-0460 Fax: 301-599-2174 | |
Dr. Gillian L Brubaker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772 Phone: 301-599-7300 Fax: 301-599-0476 | |
Dr. Zafir Kamil Kalamadeen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9692 Pennsylvania Ave, Upper Marlboro, MD 20772 Phone: 301-645-0300 | |
Ms. Nicole I Cooper, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Upper Marlboro, MD 20774 Phone: 301-386-5100 |