Baltimore Ketamine Clinic Eastern Shore - Medicare Primary Care in Salisbury, MD

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Baltimore Ketamine Clinic Eastern Shore is a medicare enrolled primary clinic (Clinic/center) in Salisbury, Maryland. The current practice location for Baltimore Ketamine Clinic Eastern Shore is 2324 N Zion Rd Ste 113, Salisbury, Maryland. For appointments, you can reach them via phone at (410) 870-5482. The mailing address for Baltimore Ketamine Clinic Eastern Shore is 2324 N Zion Rd Ste 113, Salisbury, Maryland and phone number is (410) 870-5482.

Baltimore Ketamine Clinic Eastern Shore is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366171720. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 870-5482.

Contact Information

Baltimore Ketamine Clinic Eastern Shore
2324 N Zion Rd Ste 113
Salisbury
MD 21801-2576
(410) 870-5482
(410) 628-1212

Map and Direction


Primary Care Clinic Profile

Full NameBaltimore Ketamine Clinic Eastern Shore
SpecialityClinic/Center
Location2324 N Zion Rd Ste 113, Salisbury, Maryland
Authorized Official Name and PositionIvana Mitic (OWNER)
Authorized Official Contact7134123462
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Baltimore Ketamine Clinic Eastern Shore
2324 N Zion Rd Ste 113
Salisbury
MD 21801-2576

Ph: (410) 870-5482		Baltimore Ketamine Clinic Eastern Shore
2324 N Zion Rd Ste 113
Salisbury
MD 21801-2576

Ph: (410) 870-5482

NPI Details:

NPI Number1366171720
Provider Enumeration Date06/09/2022
Last Update Date02/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961881628
Medicare Enrollment IDO20220627001766

Medical Identifiers

Medical identifiers for Baltimore Ketamine Clinic Eastern Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366171720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Baltimore Ketamine Clinic Eastern Shore acts as a billing entity for following providers:
Provider NameIvana Mitic
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962743815
PECOS PAC ID: 1355580317
Enrollment ID: I20141216001308

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.