Frederick Primary Care Associates, P.a. | |
610 Solarex Ct Frederick MD 21703-8624 | |
(301) 682-5500 | |
Not Available |
Full Name | Frederick Primary Care Associates, P.a. |
---|---|
Speciality | Family Medicine |
Location | 610 Solarex Ct, Frederick, Maryland |
Authorized Official Name and Position | James Baker (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 3016636162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Frederick Primary Care Associates, P.a. 610 Solarex Ct Frederick MD 21703-8624 Ph: (301) 663-6162 | Frederick Primary Care Associates, P.a. 610 Solarex Ct Frederick MD 21703-8624 Ph: (301) 682-5500 |
NPI Number | 1689658890 |
---|---|
Provider Enumeration Date | 12/01/2005 |
Last Update Date | 08/02/2016 |
Medicare PECOS PAC ID | 9436045648 |
---|---|
Medicare Enrollment ID | O20040225000299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689658890 | NPI | - | NPPES |
926580501 | Medicaid | MD | |
926580505 | Medicaid | MD | |
926580509 | Medicaid | MD | |
926580502 | Medicaid | MD | |
926580504 | Medicaid | MD | |
926580503 | Medicaid | MD | |
926580507 | Medicaid | MD | |
926580506 | Medicaid | MD | |
926580508 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Diana Juliano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932190485 PECOS PAC ID: 5597651729 Enrollment ID: I20040225000382 |
Provider Name | Rebecca A Herman-smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447241997 PECOS PAC ID: 0749246148 Enrollment ID: I20041207001172 |
Provider Name | Nabila Shad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891786356 PECOS PAC ID: 3072563147 Enrollment ID: I20050208000169 |
Provider Name | Richard Gough |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346223955 PECOS PAC ID: 0345271946 Enrollment ID: I20050823001085 |
Provider Name | Robyn Denise Fowler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679609358 PECOS PAC ID: 0648204255 Enrollment ID: I20050922001200 |
Provider Name | Virginia C Wiley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023099033 PECOS PAC ID: 1153346283 Enrollment ID: I20051007000740 |
Provider Name | Rose M Wienhoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326047630 PECOS PAC ID: 7810918026 Enrollment ID: I20051215000684 |
Provider Name | Vivian C Dechosa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689604654 PECOS PAC ID: 0840294401 Enrollment ID: I20060913000166 |
Provider Name | Haroon Akhtar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164614764 PECOS PAC ID: 4981781150 Enrollment ID: I20090305000189 |
Provider Name | James P Amerena |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912981929 PECOS PAC ID: 4587797220 Enrollment ID: I20100803000030 |
Provider Name | Kathleen W Stern |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013990720 PECOS PAC ID: 5698808236 Enrollment ID: I20100803000146 |
Provider Name | Joseph Ashwal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508840026 PECOS PAC ID: 7315070984 Enrollment ID: I20100803000564 |
Provider Name | Michael A Lerner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508849308 PECOS PAC ID: 2961535562 Enrollment ID: I20100803000979 |
Provider Name | Amy J Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467436550 PECOS PAC ID: 1153454772 Enrollment ID: I20100803001114 |
Provider Name | Stephen Herng-shiu Lee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063496107 PECOS PAC ID: 4183757503 Enrollment ID: I20100805000003 |
Provider Name | Gerard A Delgrippo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447233234 PECOS PAC ID: 0941334833 Enrollment ID: I20100813000682 |
Provider Name | Jill Durfee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710961768 PECOS PAC ID: 0648304543 Enrollment ID: I20100813000743 |
Provider Name | Chan-hing M Ho |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295716223 PECOS PAC ID: 8325172182 Enrollment ID: I20100816000272 |
Provider Name | Karen M Hundemer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164405957 PECOS PAC ID: 4385778752 Enrollment ID: I20100820000394 |
Provider Name | Dale R Heitzig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548244056 PECOS PAC ID: 1557495819 Enrollment ID: I20100823000530 |
Provider Name | James Christopher Fleming |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447234893 PECOS PAC ID: 8921122086 Enrollment ID: I20100826000966 |
Provider Name | Edward F Fisher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639153117 PECOS PAC ID: 0244354132 Enrollment ID: I20100830000465 |
Provider Name | Gene F Ashe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982688487 PECOS PAC ID: 3779508817 Enrollment ID: I20100831000030 |
Provider Name | Bonnie Fitleberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568436426 PECOS PAC ID: 2264571611 Enrollment ID: I20110128000172 |
Provider Name | Susan L. Burton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235281585 PECOS PAC ID: 6002079829 Enrollment ID: I20120515000215 |
Provider Name | Constance M Wantling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528110137 PECOS PAC ID: 4587827316 Enrollment ID: I20120515000311 |
Provider Name | Allison B Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619092277 PECOS PAC ID: 6800059007 Enrollment ID: I20120529000096 |
Provider Name | Tamara L Moreland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912051251 PECOS PAC ID: 8123267614 Enrollment ID: I20130613000039 |
Provider Name | Kelly L Llewellyn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336578947 PECOS PAC ID: 2466682729 Enrollment ID: I20140306000117 |
Provider Name | Zoe Leigh Ajebon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376830182 PECOS PAC ID: 5991923757 Enrollment ID: I20140820002218 |
Provider Name | Hillary Borsa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316323793 PECOS PAC ID: 3274849666 Enrollment ID: I20160926001538 |
Provider Name | Megan Elizabeth Stitely-brenneman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235682600 PECOS PAC ID: 5395023469 Enrollment ID: I20161024002167 |
Provider Name | Sarah A Park |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902252620 PECOS PAC ID: 3476831561 Enrollment ID: I20161025000083 |
Provider Name | Megan Joesting |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366895351 PECOS PAC ID: 7618256900 Enrollment ID: I20161109000142 |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Lourdes Brigida Hunter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Thomas Johnson Dr, Suite 104, Frederick, MD 21702 Phone: 301-360-0776 Fax: 301-631-8443 | |
Sivimed Internal Medicine Associates Nd Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 141 Thomas Johnson Dr Ste 100, Frederick, MD 21702 Phone: 301-228-9123 Fax: 855-760-5009 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Mason-dixon Mobile Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 723 N Market St, Frederick, MD 21701 Phone: 240-397-6723 Fax: 833-992-0865 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 | |
Serenity Medical & Wellness Center Of Frederick Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Toll House Ave, Suite F1, Frederick, MD 21701 Phone: 240-561-5163 |