| Gbmc Health Partners At Helping Up Mission, Llc | |
|
1017 E Baltimore St Ground Floor Baltimore MD 21202-4705 | |
| (410) 826-0170 | |
| Not Available |
| Full Name | Gbmc Health Partners At Helping Up Mission, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1017 E Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Laurie R Beyer (EVP & CFO) |
| Authorized Official Contact | 4438492519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gbmc Health Partners At Helping Up Mission, Llc 6701 N. Charles Street S. Chapman Building, Suite 102 Baltimore MD 21204 Ph: (443) 849-2000 | Gbmc Health Partners At Helping Up Mission, Llc 1017 E Baltimore St Ground Floor Baltimore MD 21202-4705 Ph: (410) 826-0170 |
| NPI Number | 1003389115 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 1850624347 |
|---|---|
| Medicare Enrollment ID | O20190617000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003389115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | James E Baronas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215071691 PECOS PAC ID: 5395895197 Enrollment ID: I20090617000430 |
| Provider Name | Lashanda Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700350352 PECOS PAC ID: 9830582113 Enrollment ID: I20220209000946 |
| Provider Name | Jennifer C Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548966013 PECOS PAC ID: 6002281003 Enrollment ID: I20230405000088 |
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