| Access Primary Care LLC | |
|
12308 Ocean Gtwy Suite 3 Ocean City MD 21842-9341 | |
| (410) 213-0119 | |
| (410) 213-2875 |
| Full Name | Access Primary Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 12308 Ocean Gtwy, Ocean City, Maryland |
| Authorized Official Name and Position | Joseph Crisanti (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4102130119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Primary Care LLC 12308 Ocean Gtwy Suite 3 Ocean City MD 21842-9341 Ph: (410) 213-0119 | Access Primary Care LLC 12308 Ocean Gtwy Suite 3 Ocean City MD 21842-9341 Ph: (410) 213-0119 |
| NPI Number | 1033550496 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 0345479986 |
|---|---|
| Medicare Enrollment ID | O20140131001037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033550496 | NPI | - | NPPES |
| 612301500 | Medicaid | MD | |
| M41833 | Other | MD | CDS |
| D0050255 | Other | MD | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Maryland) | Primary |
| Provider Name | Cynthia W Randolph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326113242 PECOS PAC ID: 5991781247 Enrollment ID: I20040628000068 |
| Provider Name | Kenny H Iman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295801173 PECOS PAC ID: 1355396466 Enrollment ID: I20050322000054 |
| Provider Name | Joseph S. Crisanti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598752271 PECOS PAC ID: 3870526692 Enrollment ID: I20050913000687 |
| Provider Name | Melissa I Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104090331 PECOS PAC ID: 0941368112 Enrollment ID: I20081017000229 |
| Provider Name | Laurel Steen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245667401 PECOS PAC ID: 9638309214 Enrollment ID: I20151102002626 |
| Provider Name | Katoya Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990725 PECOS PAC ID: 0941349435 Enrollment ID: I20160520001578 |
| Provider Name | Eva C Carbone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072664 PECOS PAC ID: 7214295294 Enrollment ID: I20171220002979 |
| Provider Name | Daniel J Lamont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114974300 PECOS PAC ID: 6103927181 Enrollment ID: I20180820000681 |
| Provider Name | Carly R Brittingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023597598 PECOS PAC ID: 4082965751 Enrollment ID: I20180919000330 |
| Provider Name | Brianna Tapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780238709 PECOS PAC ID: 8921339102 Enrollment ID: I20191021000696 |
| Provider Name | Lorraine Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275083370 PECOS PAC ID: 7012284854 Enrollment ID: I20200319001451 |
| Provider Name | Evan a Baily |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376908145 PECOS PAC ID: 1052663358 Enrollment ID: I20201210001176 |
| Provider Name | Stephanie R Polce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689261778 PECOS PAC ID: 3072927532 Enrollment ID: I20210126000043 |
| Provider Name | Kyle Bowen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649866377 PECOS PAC ID: 2466866637 Enrollment ID: I20210129000035 |
| Provider Name | Leslie Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134877525 PECOS PAC ID: 2062896764 Enrollment ID: I20220830001534 |
| Provider Name | John Oge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659857043 PECOS PAC ID: 7618210121 Enrollment ID: I20230509002276 |
| Provider Name | Vaeda Pontosky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881412112 PECOS PAC ID: 3072045970 Enrollment ID: I20241016004505 |
| Provider Name | Erica Borrell Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760671960 PECOS PAC ID: 7517055320 Enrollment ID: I20241101000119 |
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