| Luminis Health Medical Group, Llc | |
|
1630 Main St Chester MD 21619-2791 | |
| (410) 643-4524 | |
| (410) 643-4523 |
| Full Name | Luminis Health Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1630 Main St, Chester, Maryland |
| Authorized Official Name and Position | Peter Odenwald (VICE PRESIDENT) |
| Authorized Official Contact | 4434816415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminis Health Medical Group, Llc Po Box 12622 Belfast ME 04915-4017 Ph: (443) 481-6576 | Luminis Health Medical Group, Llc 1630 Main St Chester MD 21619-2791 Ph: (410) 643-4524 |
| NPI Number | 1831463298 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831463298 | NPI | - | NPPES |
| 830799 | Other | MD | AETNA HMO |
| 8580111 | Other | MD | AETNA PPO |
| AB1100 | Other | CAREFIRST | |
| 4071751-37 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medstar Medical Group Ii Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Main St, Chester, MD 21619 Phone: 703-552-1403 | |
Luminis Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 410-604-6560 | |
Kent Island Chiropractic And Rehabilitation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1812 Main St., Suite C, Chester, MD 21619 Phone: 443-249-3168 Fax: 443-249-3199 | |
Luminis Health Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1630 Main St Ste 101, Chester, MD 21619 Phone: 443-481-1000 Fax: 443-481-4151 | |
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