Genesis Eldercare Physician Services LLC - Medicare Primary Care in Salisbury, MD

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Genesis Eldercare Physician Services LLC is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Salisbury, Maryland. The current practice location for Genesis Eldercare Physician Services LLC is 6508 Deer Pointe Dr, Suite A, Salisbury, Maryland. For appointments, you can reach them via phone at (410) 543-1957. The mailing address for Genesis Eldercare Physician Services LLC is Po Box 62946, Baltimore, Maryland and phone number is (410) 494-7607.

Genesis Eldercare Physician Services LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1881635183. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 543-1957.

Contact Information

Genesis Eldercare Physician Services LLC
6508 Deer Pointe Dr
Suite A
Salisbury
MD 21804
(410) 543-1957
(410) 543-8942

Map and Direction


Primary Care Clinic Profile

Full NameGenesis Eldercare Physician Services LLC
SpecialityInternal Medicine
Location6508 Deer Pointe Dr, Salisbury, Maryland
Authorized Official Name and PositionEric Shapiro (VP, CONTROLLER)
Authorized Official Contact4108327790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1881635183
Provider Enumeration Date06/09/2006
Last Update Date08/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9830002534
Medicare Enrollment IDO20050124000329

Medical Identifiers

Medical identifiers for Genesis Eldercare Physician Services LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881635183NPI-NPPES
999320700MedicaidMD
999320705MedicaidMD
B018OtherDCCAREFIRST BCBS OF NCA GP
KQ54GEOtherMDCAREFIRST BCBS OF MD GP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Secondary
207RG0300XInternal Medicine - Geriatric Medicine ()Primary
207RP1001XInternal Medicine - Pulmonary Disease ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Genesis Eldercare Physician Services LLC acts as a billing entity for following providers:
Provider NameNicole R Richardson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023000775
PECOS PAC ID: 4688563273
Enrollment ID: I20040311001528
Provider NameKelson Figaro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831128750
PECOS PAC ID: 1759275340
Enrollment ID: I20040527000498
Provider NameSharad Satyal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033177852
PECOS PAC ID: 4880659143
Enrollment ID: I20041129000287
Provider NameMateen Awan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316918303
PECOS PAC ID: 0446298731
Enrollment ID: I20050812000547
Provider NameHemen Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821002601
PECOS PAC ID: 2466487897
Enrollment ID: I20051031000335
Provider NameJude Cabatingan Muneses
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548286289
PECOS PAC ID: 8224028238
Enrollment ID: I20051227000400
Provider NameShirley J Seward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184771966
PECOS PAC ID: 0941223150
Enrollment ID: I20060112001042
Provider NameYogesh Vohra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598785412
PECOS PAC ID: 8426059148
Enrollment ID: I20070124000232
Provider NameKaren Ann Cousins
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1912921453
PECOS PAC ID: 1456381474
Enrollment ID: I20070209000069
Provider NameGetachew Tefferra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770625907
PECOS PAC ID: 6507950136
Enrollment ID: I20070913000413
Provider NameMuhammad Naeem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710186291
PECOS PAC ID: 0345337671
Enrollment ID: I20071101000683
Provider NameLaurie B Gezelle
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1245429000
PECOS PAC ID: 2264514512
Enrollment ID: I20080125000559
Provider NameSandra B Shaheed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275738965
PECOS PAC ID: 5294819256
Enrollment ID: I20080228000639
Provider NameJameka W Riley
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073794491
PECOS PAC ID: 9335224153
Enrollment ID: I20080304000520
Provider NameSyed a Ali
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447477716
PECOS PAC ID: 7618042151
Enrollment ID: I20080819000378
Provider NameErin M Mcenany
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1710138102
PECOS PAC ID: 3476612581
Enrollment ID: I20081104000641
Provider NameWajahath Mohsini
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1467637751
PECOS PAC ID: 5698834455
Enrollment ID: I20081107000491
Provider NameMuhammad a Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568575074
PECOS PAC ID: 6800814559
Enrollment ID: I20090216000240
Provider NameShirene Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932383288
PECOS PAC ID: 4385785971
Enrollment ID: I20100105000122
Provider NameKirandeep Kaur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073742102
PECOS PAC ID: 1153445143
Enrollment ID: I20100827000179
Provider NameNader Tavakoli-jalili
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407059413
PECOS PAC ID: 0143272922
Enrollment ID: I20100921001099
Provider NameJacqueline Ryan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851360192
PECOS PAC ID: 8224222039
Enrollment ID: I20101104001388
Provider NameJosjin Vazhappilly
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851520936
PECOS PAC ID: 8820283583
Enrollment ID: I20101112000163
Provider NameUzochukwu W Unegbu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104006360
PECOS PAC ID: 3375677339
Enrollment ID: I20101112000751
Provider NameEllen R Mcinerney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235176157
PECOS PAC ID: 8527951144
Enrollment ID: I20101122000542
Provider NameLiaqat Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700857232
PECOS PAC ID: 3577459502
Enrollment ID: I20101208000557
Provider NameArnulfo B Bonavente
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619973534
PECOS PAC ID: 7517154982
Enrollment ID: I20101210000497
Provider NameSuela Kaba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730383571
PECOS PAC ID: 1557558814
Enrollment ID: I20101213000428
Provider NameStephanie a Joy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134425028
PECOS PAC ID: 0042495244
Enrollment ID: I20110504000132
Provider NameSadia N Baqai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144556846
PECOS PAC ID: 2961544671
Enrollment ID: I20110622000248
Provider NameNoah J Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730482464
PECOS PAC ID: 6002086535
Enrollment ID: I20110819000032
Provider NameKimberly Fern
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1245535749
PECOS PAC ID: 1254507965
Enrollment ID: I20111230000299
Provider NameArun Raghunath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821222530
PECOS PAC ID: 6204003700
Enrollment ID: I20120125000042
Provider NameRita U Ntosi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700153210
PECOS PAC ID: 1759548332
Enrollment ID: I20120209000373
Provider NameVivian Duru
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1447529904
PECOS PAC ID: 9931369402
Enrollment ID: I20120321000518
Provider NamePatricia Oshodi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558516187
PECOS PAC ID: 9133250624
Enrollment ID: I20120327000057
Provider NameCarrie a Dana-evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548536675
PECOS PAC ID: 4183887540
Enrollment ID: I20120522000930
Provider NameWarren Clifton Mccormick
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1609127547
PECOS PAC ID: 7618129743
Enrollment ID: I20121218000171
Provider NameMegan N Shroyer
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1063726313
PECOS PAC ID: 5799979563
Enrollment ID: I20130808000126
Provider NameKerri a Nowotny
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1184719254
PECOS PAC ID: 1052364312
Enrollment ID: I20131107000247
Provider NameMonica Lovins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861732331
PECOS PAC ID: 9739319724
Enrollment ID: I20140314000125
Provider NameThomas Masterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649224643
PECOS PAC ID: 1456373802
Enrollment ID: I20140326000433
Provider NameElizabeth Raywer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063835239
PECOS PAC ID: 3870725245
Enrollment ID: I20140417001120
Provider NameYesha S Patel
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1871870535
PECOS PAC ID: 0749456739
Enrollment ID: I20140922001640
Provider NameSaadia a Husain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396854584
PECOS PAC ID: 8022019488
Enrollment ID: I20141106001704
Provider NameDeborah a Stein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538214382
PECOS PAC ID: 3870692502
Enrollment ID: I20150427001699
Provider NameFrances E Williams
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285673368
PECOS PAC ID: 6507813359
Enrollment ID: I20150512000460
Provider NameAmanda Ruch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326430414
PECOS PAC ID: 5395065668
Enrollment ID: I20150528000598
Provider NameRasaq Abu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578663019
PECOS PAC ID: 0244214625
Enrollment ID: I20151228000133
Provider NameChase Neitzke
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1730552118
PECOS PAC ID: 5799089017
Enrollment ID: I20160208000980
Provider NameVirginia Noftsier
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1598028649
PECOS PAC ID: 4284881053
Enrollment ID: I20160317000444
Provider NameShahana Karim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275591141
PECOS PAC ID: 6800067083
Enrollment ID: I20160705002049
Provider NameMelissa Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750730222
PECOS PAC ID: 7618263021
Enrollment ID: I20160912001703
Provider NameEmily Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124451133
PECOS PAC ID: 9335378421
Enrollment ID: I20161227001313
Provider NameSharen Ayensu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952642357
PECOS PAC ID: 4789963547
Enrollment ID: I20161229001932
Provider NameKuroush Aligholizadeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144734492
PECOS PAC ID: 2860754470
Enrollment ID: I20180320000673
Provider NameJohanna Devine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801377304
PECOS PAC ID: 2668717380
Enrollment ID: I20181227000169
Provider NameAhsan Afzal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316263692
PECOS PAC ID: 1052553914
Enrollment ID: I20190221002000
Provider NameKatherine E Daugherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912464819
PECOS PAC ID: 4486997988
Enrollment ID: I20190524002217
Provider NameLelise Endale
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1316367881
PECOS PAC ID: 3476803727
Enrollment ID: I20190711000802
Provider NameBibi Aysha Siddhika
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720264658
PECOS PAC ID: 9739467226
Enrollment ID: I20190729001365
Provider NameDawn Christine Conklin
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1114966678
PECOS PAC ID: 7012109952
Enrollment ID: I20191226000280
Provider NameOdette Solange Kemvo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952949299
PECOS PAC ID: 1951730928
Enrollment ID: I20200326003819
Provider NameCyriac Nchang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427589878
PECOS PAC ID: 1254750193
Enrollment ID: I20200928000619
Provider NameMariechantal Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992944847
PECOS PAC ID: 9335437672
Enrollment ID: I20201015002202
Provider NamePeris Lango
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891343182
PECOS PAC ID: 8123435575
Enrollment ID: I20210331000848
Provider NameRebecca Waksmunski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285300434
PECOS PAC ID: 4082019146
Enrollment ID: I20210827000772
Provider NameNgum Avwontom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972173904
PECOS PAC ID: 1658778881
Enrollment ID: I20210930000683
Provider NameLauren Anne Mackenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295490225
PECOS PAC ID: 3173912961
Enrollment ID: I20211117000670
Provider NameAshley Naugler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053075655
PECOS PAC ID: 8123417862
Enrollment ID: I20211117003239
Provider NameCatheline Odia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942882865
PECOS PAC ID: 6901297159
Enrollment ID: I20211222001456
Provider NameErica Allen-winslow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659533800
PECOS PAC ID: 7517289671
Enrollment ID: I20220119000232
Provider NameBradley Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558762062
PECOS PAC ID: 8426349986
Enrollment ID: I20220322002487
Provider NameSabrina Ngong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851854244
PECOS PAC ID: 7012241854
Enrollment ID: I20220525002158
Provider NameJulie Adeoye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821757840
PECOS PAC ID: 8224416664
Enrollment ID: I20220526000409
Provider NameEunice Eneanya Udiani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730441239
PECOS PAC ID: 8820472699
Enrollment ID: I20220827000106
Provider NameBrandon Coburn
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1932706744
PECOS PAC ID: 6204246804
Enrollment ID: I20221018001776
Provider NameCynthia Safo-mensa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164011698
PECOS PAC ID: 6608283601
Enrollment ID: I20221020001635
Provider NameSharon Drummond
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1023104783
PECOS PAC ID: 5395112973
Enrollment ID: I20221110003173
Provider NameSamantha Vogt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720716046
PECOS PAC ID: 4880062744
Enrollment ID: I20221125000547
Provider NameHillary Rosenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740345362
PECOS PAC ID: 0345463550
Enrollment ID: I20230323003152
Provider NameShadi Soufi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326250705
PECOS PAC ID: 5991895203
Enrollment ID: I20230629001530
Provider NameMalcolm Winkle
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1629574173
PECOS PAC ID: 1658733225
Enrollment ID: I20230814002499
Provider NameSoukeye Niang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881159093
PECOS PAC ID: 6406287358
Enrollment ID: I20240112003296
Provider NameCynthia Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861249211
PECOS PAC ID: 1456882067
Enrollment ID: I20241008000332
Provider NameMichelle Leigh Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184456691
PECOS PAC ID: 9335671361
Enrollment ID: I20241016000698
Provider NamePorntip Neer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376373589
PECOS PAC ID: 4880127273
Enrollment ID: I20241113000798
Provider NameMusu Komeyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730752486
PECOS PAC ID: 1355702804
Enrollment ID: I20241209001013
Provider NameJulie Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689469512
PECOS PAC ID: 6305364316
Enrollment ID: I20250514000754
Provider NameHolland Laurin
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1871753202
PECOS PAC ID: 2860559606
Enrollment ID: I20251008004280
Provider NameYolanda Coleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528641560
PECOS PAC ID: 7012363773
Enrollment ID: I20251021000005
Provider NameYuhana Gidey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861109373
PECOS PAC ID: 9234502832
Enrollment ID: I20260430004248

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.