| Jeanne A. Reedy, Llc | |
|
479 Creeks End Ln Stevensville MD 21666-2572 | |
| (240) 462-4448 | |
| (410) 643-3205 |
| Full Name | Jeanne A. Reedy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 479 Creeks End Ln, Stevensville, Maryland |
| Authorized Official Name and Position | Jeanne A Reedy (SOLE MEMBER) |
| Authorized Official Contact | 2404624448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne A. Reedy, Llc 479 Creeks End Ln Stevensville MD 21666-2572 Ph: (240) 462-4448 | Jeanne A. Reedy, Llc 479 Creeks End Ln Stevensville MD 21666-2572 Ph: (240) 462-4448 |
| NPI Number | 1215349345 |
|---|---|
| Provider Enumeration Date | 05/23/2014 |
| Last Update Date | 05/23/2014 |
| Medicare PECOS PAC ID | 1052666393 |
|---|---|
| Medicare Enrollment ID | O20180611000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215349345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12099 (Maryland) | Primary |
| Provider Name | Jeanne Adams Reedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215979166 PECOS PAC ID: 5395049381 Enrollment ID: I20180611000459 |
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