| Terrence Mulligan, DO,MPH | |
|
2101 E Jefferson St, Rockville, MD 20852-4908 | |
| (800) 227-6472 | |
| Not Available |
| Full Name | Terrence Mulligan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 2101 E Jefferson St, Rockville, 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 |
|---|---|---|---|
| 1548203920 | NPI | - | NPPES |
| H0059022 | Other | MD | STATE LICENSE |
| DO210001668 | Other | DC | STATE LICENSE |
| 0102201815 | Other | VA | STATE LICENSE |
| 381221900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H0059022 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Warren Memorial Hospital | Front royal, VA | Hospital |
| Carlisle Regional Medical Center | Carlisle, PA | Hospital |
| Buchanan General Hospital | Grundy, VA | Hospital |
| Shenandoah Memorial Hospital | Woodstock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Warren Memorial Hospital, Inc. | 2365330347 | 85 |
| Ohio Valley Physicians Inc | 8729032966 | 100 |
| Rh Emergency Medicine Of Och Regional Llc | 0941734990 | 21 |
| Relias Emergency Medicine Specialists Of Northport, Llc | 2668724634 | 18 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
| Entity Name | Emergency Medicine Associates, P.a.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376917070 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
| Entity Name | Shenandoah Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952417735 PECOS PAC ID: 2466360375 Enrollment ID: O20040115001156 |
| Entity Name | Page Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326040684 PECOS PAC ID: 8426951203 Enrollment ID: O20040129000420 |
| Entity Name | Warren Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164442281 PECOS PAC ID: 2365330347 Enrollment ID: O20040310000516 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050418000414 |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20200124001561 |
| Entity Name | Glutality Provider Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200929001456 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1114677572 PECOS PAC ID: 3779495858 Enrollment ID: O20221111001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Terrence Mulligan, DO,MPH 2100 South Rd, Baltimore, MD 21209-4512 Ph: (202) 344-6824 | Terrence Mulligan, DO,MPH 2101 E Jefferson St, Rockville, MD 20852-4908 Ph: (800) 227-6472 |
Dr. Michael Anthony Sauri, M.D., M.P.H.&T.M. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15005 Shady Grove Road, Suite 450, Rockville, MD 20850 Phone: 301-738-6420 Fax: 301-738-2215 | |
Rakesh Makadia, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-826-6000 | |
Dr. Matthew William Kramp, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 726 Rockville Pike, Rockville, MD 20852 Phone: 240-546-3428 | |
Dr. Alexander Julian Wade, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9901 Medical Center Dr, Shady Grove Adventist Hospital, Rockville, MD 20850 Phone: 240-826-5739 | |
Dr. Nicole S Vetere, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9901 Medical Center Drive, Shady Grove Adventist Hospital, Rockville, MD 20878 Phone: 240-826-7550 Fax: 240-364-9020 | |
Dr. Philip Jonathan Kaplan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15204 Omega Dr Ste 100, Rockville, MD 20850 Phone: 301-279-6750 Fax: 301-208-8953 | |
Dr. Brett Gamma, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9901 Medical Center Dr, Rockville, MD 20850 Phone: 240-364-2515 |