| Diabetes Prevention Program | |
|
975 Solomons Island Rd N Prince Frederick MD 20678-3917 | |
| (410) 535-5400 | |
| (410) 535-1955 |
| Full Name | Diabetes Prevention Program |
|---|---|
| Speciality | Clinic/Center |
| Location | 975 Solomons Island Rd N, Prince Frederick, Maryland |
| Authorized Official Name and Position | Laurence Polsky (HEALTH OFFICER) |
| Authorized Official Contact | 4105355400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Prevention Program Po Box 980 Prince Frederick MD 20678-0980 Ph: (410) 535-5400 | Diabetes Prevention Program 975 Solomons Island Rd N Prince Frederick MD 20678-3917 Ph: (410) 535-5400 |
| NPI Number | 1740848423 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 05/29/2019 |
| Medicare PECOS PAC ID | 7214188366 |
|---|---|
| Medicare Enrollment ID | O20190926000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740848423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (NU) | Primary |
| 174H00000X | Health Educator | (NU) | Secondary |
Tallman Medical, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 Westfield Dr, Prince Frederick, MD 20678 Phone: 443-699-5925 |
Calverthealth Medical Group, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 112, Prince Frederick, MD 20678 Phone: 410-414-9116 Fax: 410-414-9118 |
Shah Associates MD LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd Ste 303, Calvert Medical Center, Prince Frederick, MD 20678 Phone: 410-535-4333 Fax: 410-535-0495 |
John P Hakim MD & Associates PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 W Dares Beach Rd, Suite 101, Prince Frederick, MD 20678 Phone: 443-880-5146 Fax: 301-856-5454 |
Calvert Family Practice Associates, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678 Phone: 410-535-4488 Fax: 410-535-6131 |
Bhargesh P. Mehta, M.D., P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Prince Frederick Blvd, Suite 101, Prince Frederick, MD 20678 Phone: 410-535-5555 Fax: 410-535-5599 |