| Vinita Patanaphan, MD | |
|
1200 Brass Mill Rd, Suite E, Belcamp, MD 21017-1217 | |
| (410) 272-9224 | |
| (410) 575-7591 |
| Full Name | Vinita Patanaphan |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 55 Years |
| Location | 1200 Brass Mill Rd, Belcamp, 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 |
|---|---|---|---|
| 1356323570 | NPI | - | NPPES |
| 649911200 | Medicaid | MD | |
| 1043770 | Other | MD | CIGNA PROVIDER # |
| 4421117 | Other | MD | AETNA PROVIDER # |
| 01189076 | Other | MD | AMERIGROUP |
| 34578005 | Other | MD | CARE FIRST BCBS PROV. # |
| 6882-0002 | Other | MD | CAREFIRST BCBS- DC |
| 154681300 | Medicaid | MD | |
| 5160 | Other | MD | ELDER HEALTH PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | D21798 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umd Upper Chesapeake Medical Center | Bel air, MD | Hospital |
| University Of Maryland Medical Center | Baltimore, MD | Hospital |
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Radiation Oncology Associates Pa | 6406845544 | 36 |
| Entity Name | University Of Maryland Radiation Oncology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780637272 PECOS PAC ID: 6406845544 Enrollment ID: O20040512000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Vinita Patanaphan, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Vinita Patanaphan, MD 1200 Brass Mill Rd, Suite E, Belcamp, MD 21017-1217 Ph: (410) 272-9224 |
Mariyama Fofana, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 Brass Mill Rd, Belcamp, MD 21017 Phone: 443-900-3027 |