| Genesis Eldercare Physician Services LLC | |
|
6508 Deer Pointe Dr Suite A Salisbury MD 21804 | |
| (410) 543-1957 | |
| (410) 543-8492 |
| Full Name | Genesis Eldercare Physician Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6508 Deer Pointe Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Eric Shapiro (VICE PRESIDENT) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services LLC Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services LLC 6508 Deer Pointe Dr Suite A Salisbury MD 21804 Ph: (410) 543-1957 |
| NPI Number | 1518901933 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20040512000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518901933 | NPI | - | NPPES |
| 0611564DE | Other | DE | DELAWARE BCBS GP # |
| 0000514202 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Bernard a Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962459925 PECOS PAC ID: 9537130398 Enrollment ID: I20040804001036 |
| Provider Name | Jose J Marte Santana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992007165 PECOS PAC ID: 9234308495 Enrollment ID: I20110805000025 |
| Provider Name | Jane a Longest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194041590 PECOS PAC ID: 9335336569 Enrollment ID: I20120711000411 |
| Provider Name | Judith W Gachingiri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376668152 PECOS PAC ID: 5698946960 Enrollment ID: I20131127000151 |
| Provider Name | Simon Iroha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194973503 PECOS PAC ID: 2567636038 Enrollment ID: I20140130001448 |
| Provider Name | Bobbi Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720386030 PECOS PAC ID: 2466638515 Enrollment ID: I20140331000824 |
| Provider Name | Janice Hilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232430 PECOS PAC ID: 6204069651 Enrollment ID: I20200127001525 |
| Provider Name | Lydia Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285022988 PECOS PAC ID: 7113319591 Enrollment ID: I20220114000953 |
| Provider Name | Heather Jaeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144719733 PECOS PAC ID: 8628324720 Enrollment ID: I20221128002821 |
| Provider Name | Belinda Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366067555 PECOS PAC ID: 0244653699 Enrollment ID: I20240322000491 |
| Provider Name | Courtney M Mishler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114381449 PECOS PAC ID: 7315206968 Enrollment ID: I20251104003065 |
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