| Thomas J Krisanda, MD | |
|
5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 | |
| (410) 521-5950 | |
| (410) 828-6004 |
| Full Name | Thomas J Krisanda |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 40 Years |
| Location | 5401 Old Court Road, Randallstown, 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 |
|---|---|---|---|
| 1770648370 | NPI | - | NPPES |
| 246601500 | Medicaid | MD | |
| 75859901 | Other | MD | BLUE SHIELD |
| 930078599 | Other | MD | RAILROAD MED |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sinai Hospital Of Baltimore | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penn State Health Community Medical Group Llc | 8729351077 | 737 |
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Krisanda, MD 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 Ph: (410) 521-5950 | Thomas J Krisanda, MD 5401 Old Court Road, Northwest Hospital Emergency Dept., Randallstown, MD 21133 Ph: (410) 521-5950 |
Debra Freeman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950 | |
Dr. Jennifer Ann Yorke, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Northwest Hospital Emergency Dept, Randallstown, MD 21133 Phone: 410-521-5950 | |
Aminat Ibikunle, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Dr. Jonathan Sidney Thierman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950 | |
Dr. Michael De Wit, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-5950 | |
Ryleigh Marie Etzweiler, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 000-000-0000 |