| Erickson Health Medical Group Of Maryland Pc | |
|
3110 Gracefield Rd Silver Spring MD 20904-1820 | |
| (301) 572-8340 | |
| (301) 572-8403 |
| Full Name | Erickson Health Medical Group Of Maryland Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3110 Gracefield Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Matthew J Narrett (SENIOR VP AND CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4104022257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Health Medical Group Of Maryland Pc 5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (301) 572-8340 | Erickson Health Medical Group Of Maryland Pc 3110 Gracefield Rd Silver Spring MD 20904-1820 Ph: (301) 572-8340 |
| NPI Number | 1205856549 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 2860304136 |
|---|---|
| Medicare Enrollment ID | O20031104000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205856549 | NPI | - | NPPES |
| 9680-0059 | Other | BCBS OF DC | |
| 0008 | Other | CAREFIRST BCBS | |
| 42455801 | Other | BCBS MD | |
| T016 | Other | BCBS DC | |
| 04-04109 | Other | EVERCARE | |
| 400550300 | Medicaid | MD | |
| 008203102 | Medicaid | MD | |
| 0943-SE-881489-01 | Other | BCBS OF MD | |
| 138CSE | Other | BCBS MD |
| Provider Name | Lynne D Diggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306835475 PECOS PAC ID: 7012815624 Enrollment ID: I20031220000025 |
| Provider Name | Mark A Parkhurst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629154539 PECOS PAC ID: 7618863051 Enrollment ID: I20040224000497 |
| Provider Name | Bruce T Fox |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699877290 PECOS PAC ID: 1254323256 Enrollment ID: I20040331000724 |
| Provider Name | Loveen Puthumana |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235175043 PECOS PAC ID: 7911997689 Enrollment ID: I20040514000435 |
| Provider Name | Roberta L Worrall Feldhausen |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841222973 PECOS PAC ID: 9032175153 Enrollment ID: I20041209000471 |
| Provider Name | Roberto F Araujo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609805571 PECOS PAC ID: 7618918913 Enrollment ID: I20051222000139 |
| Provider Name | Wendy W De Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649200825 PECOS PAC ID: 1355385949 Enrollment ID: I20070222000336 |
| Provider Name | Deborah A Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538214382 PECOS PAC ID: 3870692502 Enrollment ID: I20070621000252 |
| Provider Name | Thomas F Morris |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326056045 PECOS PAC ID: 6901861251 Enrollment ID: I20120124000393 |
| Provider Name | Aubin K Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730578709 PECOS PAC ID: 9234458084 Enrollment ID: I20150429002076 |
| Provider Name | Efemwonyi Jesuorobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760835003 PECOS PAC ID: 7214202902 Enrollment ID: I20181121000815 |
| Provider Name | Shannon L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922599984 PECOS PAC ID: 9931454659 Enrollment ID: I20210203001033 |
| Provider Name | Lauren P Sweetser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154528396 PECOS PAC ID: 9436283272 Enrollment ID: I20230202000968 |
| Provider Name | Donna J Servedio O'neill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538867981 PECOS PAC ID: 6507231370 Enrollment ID: I20230408000176 |
| Provider Name | Ashley Kinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982920476 PECOS PAC ID: 4385861210 Enrollment ID: I20241203001683 |
| Provider Name | Ting-jia Lorigiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417448861 PECOS PAC ID: 5395096176 Enrollment ID: I20241227002500 |
| Provider Name | Amorie Ebanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851052260 PECOS PAC ID: 1254873706 Enrollment ID: I20241231000061 |
| Provider Name | Audra Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346464286 PECOS PAC ID: 5991992570 Enrollment ID: I20250113000346 |
| Provider Name | Cherlexia Manarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841899127 PECOS PAC ID: 7416365820 Enrollment ID: I20250401000624 |
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