| Genesis Eldercare Physician Services LLC | |
|
6508 Deer Pointe Dr Ste 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 Ste A, Salisbury, Maryland |
| Authorized Official Name and Position | Eric Shapiro (VP, AREA CONTROLLER) |
| 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 Ste A Salisbury MD 21804 Ph: (410) 543-1957 |
| NPI Number | 1609180926 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 08/05/2019 |
| Medicare PECOS PAC ID | 9830002534 |
|---|---|
| Medicare Enrollment ID | O20110224000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609180926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Laura L Matones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450829 PECOS PAC ID: 2860423829 Enrollment ID: I20050830000195 |
| Provider Name | Melinda S Mcinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699864504 PECOS PAC ID: 4587661889 Enrollment ID: I20061030000400 |
| Provider Name | Sarah C Webber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215210778 PECOS PAC ID: 3971770991 Enrollment ID: I20130118000001 |
| Provider Name | David C Thayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871687939 PECOS PAC ID: 2769763572 Enrollment ID: I20170109002954 |
| Provider Name | Robert Byron Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295248029 PECOS PAC ID: 8820356009 Enrollment ID: I20171215001535 |
| Provider Name | Jamie R Collard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497132674 PECOS PAC ID: 5799080123 Enrollment ID: I20180815003166 |
| Provider Name | Devan Cole Lucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811376072 PECOS PAC ID: 9032421953 Enrollment ID: I20191018002649 |
| Provider Name | Daniel Stadler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467479022 PECOS PAC ID: 5991791766 Enrollment ID: I20220104000884 |
| Provider Name | Caroline Davenport Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013676683 PECOS PAC ID: 0345631107 Enrollment ID: I20220105001393 |
| Provider Name | Bethany M Tyburski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700599305 PECOS PAC ID: 6901279991 Enrollment ID: I20230222000245 |
| Provider Name | Brian Trezak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003913526 PECOS PAC ID: 1759331168 Enrollment ID: I20240829000488 |
| Provider Name | Kathryn King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477387918 PECOS PAC ID: 7911447362 Enrollment ID: I20240911004046 |
| Provider Name | Vanessa Mccrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669206520 PECOS PAC ID: 2264973205 Enrollment ID: I20260624000350 |
Tidalhealth Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-912-5640 |
Medstar Medical Group II LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Eastern Shore Dr, Salisbury, MD 21804 Phone: 410-543-7300 |
Peninsula Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Riverside Dr, Suite A 206, Salisbury, MD 21801 Phone: 410-912-5640 Fax: 410-912-5641 |
Oc Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Dr Ste 14, Salisbury, MD 21801 Phone: 301-801-2551 |
Tidalhealth Specialty Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 Woodbrooke Dr Ste A, Salisbury, MD 21804 Phone: 410-912-6716 |
Daniel E Makas DO PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Riverside Dr, Ste 6, Salisbury, MD 21801 Phone: 410-677-3736 Fax: 410-677-0922 |