Calvert Manor for Rehab - Medicare Primary Care in Rising Sun, MD

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Calvert Manor for Rehab is a medicare enrolled primary clinic (Internal Medicine) in Rising Sun, Maryland. The current practice location for Calvert Manor for Rehab is 1881 Telegraph Rd, Rising Sun, Maryland. For appointments, you can reach them via phone at (410) 658-6555. The mailing address for Calvert Manor for Rehab is 1881 Telegraph Rd, Rising Sun, Maryland and phone number is (410) 658-6555.

Calvert Manor for Rehab is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1164238333. 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) 658-6555.

Contact Information

Calvert Manor for Rehab
1881 Telegraph Rd
Rising Sun
MD 21911-2018
(410) 658-6555
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCalvert Manor for Rehab
SpecialityInternal Medicine
Location1881 Telegraph Rd, Rising Sun, Maryland
Authorized Official Name and PositionKrystle D Brown (BILLING MANAGER)
Authorized Official Contact4108006251
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Calvert Manor for Rehab
1881 Telegraph Rd
Rising Sun
MD 21911-2018

Ph: (410) 658-6555		Calvert Manor for Rehab
1881 Telegraph Rd
Rising Sun
MD 21911-2018

Ph: (410) 658-6555

NPI Details:

NPI Number1164238333
Provider Enumeration Date12/03/2024
Last Update Date12/03/2024
Certification Date12/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID7719278597
Medicare Enrollment IDO20200902001506

Medical Identifiers

Medical identifiers for Calvert Manor for Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164238333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Calvert Manor for Rehab 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 NameStacy a Harris
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1770690067
PECOS PAC ID: 6507853934
Enrollment ID: I20040428000547
Provider NameKelson Figaro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831128750
PECOS PAC ID: 1759275340
Enrollment ID: I20040527000498
Provider NameGerri Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235276833
PECOS PAC ID: 9638123516
Enrollment ID: I20050303001006
Provider NameDavid S Dunn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700881315
PECOS PAC ID: 3577459494
Enrollment ID: I20050404000452
Provider NameFadi N Saikali
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1396787578
PECOS PAC ID: 1254330905
Enrollment ID: I20061207000306
Provider NameShahid Mahmood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982701611
PECOS PAC ID: 5092811737
Enrollment ID: I20070426000279
Provider NameBibiana Anyanwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891778791
PECOS PAC ID: 0648366179
Enrollment ID: I20071015000457
Provider NameRobert Chou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639145931
PECOS PAC ID: 8921050931
Enrollment ID: I20080521000837
Provider NameModesta Vesonder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245480557
PECOS PAC ID: 8123184793
Enrollment ID: I20090305000585
Provider NameSummit Gupta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942485321
PECOS PAC ID: 6406931674
Enrollment ID: I20090904000294
Provider NameJakarta a Mabrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366772964
PECOS PAC ID: 4183750474
Enrollment ID: I20100325000565
Provider NameArman Janloo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710169446
PECOS PAC ID: 4981759875
Enrollment ID: I20110815000211
Provider NameRobert P Mcneil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538365168
PECOS PAC ID: 8022289099
Enrollment ID: I20110922000683
Provider NamePatricia Oshodi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558516187
PECOS PAC ID: 9133250624
Enrollment ID: I20120327000057
Provider NameRevia M Veney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861559825
PECOS PAC ID: 5294720421
Enrollment ID: I20120625000400
Provider NameShushil Sagar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376816314
PECOS PAC ID: 7618132317
Enrollment ID: I20120703000045
Provider NameFarida Amer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467685586
PECOS PAC ID: 3072757418
Enrollment ID: I20130925000041
Provider NameThomas Masterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649224643
PECOS PAC ID: 1456373802
Enrollment ID: I20140326000433
Provider NameGordon J.P. Taylor
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699196204
PECOS PAC ID: 6800011925
Enrollment ID: I20140716000053
Provider NameKhalilah Jefferson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609207778
PECOS PAC ID: 9234356692
Enrollment ID: I20140807001479
Provider NameMichele Tibbo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639421563
PECOS PAC ID: 0648490961
Enrollment ID: I20141008000492
Provider NameJanan a Gohari
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1619105863
PECOS PAC ID: 7719108547
Enrollment ID: I20141021000965
Provider NameEyako K Wurapa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245231331
PECOS PAC ID: 8123003704
Enrollment ID: I20141105002228
Provider NameAimee Nacrelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043621543
PECOS PAC ID: 7416274527
Enrollment ID: I20150331000658
Provider NameDorin V Takwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932582517
PECOS PAC ID: 1850604638
Enrollment ID: I20150722005795
Provider NameKristen Ray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467857672
PECOS PAC ID: 2961704929
Enrollment ID: I20160107001389
Provider NameChinyere I Okeagu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740423938
PECOS PAC ID: 3870629348
Enrollment ID: I20160421002009
Provider NameNigussie Alemu Geleta
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1194088302
PECOS PAC ID: 4385959725
Enrollment ID: I20160520001405
Provider NameGeraldine Ambe Ambahe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700272853
PECOS PAC ID: 6305132234
Enrollment ID: I20160901000943
Provider NameJoseph Fagbohun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033497771
PECOS PAC ID: 1153428065
Enrollment ID: I20160901001485
Provider NameShahin Oveisi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1649397787
PECOS PAC ID: 9638243744
Enrollment ID: I20161020001688
Provider NameArpad Erdos
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1992244891
PECOS PAC ID: 7911283312
Enrollment ID: I20170420000284
Provider NameVictoria Orie Bassey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497133748
PECOS PAC ID: 5294019287
Enrollment ID: I20170525000427
Provider NameMustafa a Abdulmahdi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205278843
PECOS PAC ID: 6002114964
Enrollment ID: I20170907000062
Provider NameMesay W Gebresilassie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568918472
PECOS PAC ID: 9537448741
Enrollment ID: I20171012000248
Provider NamePramila Jaladanki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053834069
PECOS PAC ID: 1254607013
Enrollment ID: I20171023001118
Provider NameAtchutha Geetha Chan Chilakamarri
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750508958
PECOS PAC ID: 7719029149
Enrollment ID: I20180215002467
Provider NameCaroline Njane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952845810
PECOS PAC ID: 5395007900
Enrollment ID: I20180320000353
Provider NameJanet Ngwafu Ndumu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710494554
PECOS PAC ID: 6103171566
Enrollment ID: I20180626002637
Provider NameWondwossen Bekele
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205221223
PECOS PAC ID: 8325396005
Enrollment ID: I20180813002418
Provider NamePrincess Manley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295200863
PECOS PAC ID: 7517201452
Enrollment ID: I20181204003570
Provider NameOluseyi Adebola Sofoluwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518458363
PECOS PAC ID: 0840544730
Enrollment ID: I20181213002892
Provider NameNidal Babaa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396150371
PECOS PAC ID: 6305102468
Enrollment ID: I20181221002067
Provider NameFunmilayo O Oni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366916686
PECOS PAC ID: 4880931047
Enrollment ID: I20190125000294
Provider NameDavid Fromberg
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1871904573
PECOS PAC ID: 7719106095
Enrollment ID: I20190319001061
Provider NameVaishali Rupen Baxi
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1457672727
PECOS PAC ID: 2466604939
Enrollment ID: I20190612000645
Provider NameMeredith M. Webb
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1972601029
PECOS PAC ID: 7810081395
Enrollment ID: I20190827000845
Provider NameLynn N Brogden-cabell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952961021
PECOS PAC ID: 8921336066
Enrollment ID: I20190828000140
Provider NameShahad Kareem Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508228784
PECOS PAC ID: 2466747258
Enrollment ID: I20190919003174
Provider NameEric Anapolsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790832301
PECOS PAC ID: 9032433875
Enrollment ID: I20191004001580
Provider NameJordan M Assadi
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1912332008
PECOS PAC ID: 9638396740
Enrollment ID: I20191029002951
Provider NameRachel Hammer
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942859905
PECOS PAC ID: 9436583523
Enrollment ID: I20191226000091
Provider NameAkila Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942851076
PECOS PAC ID: 9234564451
Enrollment ID: I20200116001828
Provider NameFozia Abdulwahabe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386763373
PECOS PAC ID: 2668572728
Enrollment ID: I20200219001124
Provider NameAsongtia Ntonghawah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811343338
PECOS PAC ID: 6901198027
Enrollment ID: I20200227002022
Provider NameLilian Osei
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568007862
PECOS PAC ID: 7719315241
Enrollment ID: I20200318000136
Provider NameColman Ejerenwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821635749
PECOS PAC ID: 1254769342
Enrollment ID: I20200324003214
Provider NamePhilomena Nufunkuen Keli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013536960
PECOS PAC ID: 8224451307
Enrollment ID: I20200708000909
Provider NameOlumide Omobo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982139119
PECOS PAC ID: 1850715566
Enrollment ID: I20200728000101
Provider NameHumaira Siddiqui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093976177
PECOS PAC ID: 1456485754
Enrollment ID: I20200811002478
Provider NameNicole Njijen Fuondjing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750913380
PECOS PAC ID: 1254757651
Enrollment ID: I20200817001006
Provider NameNicholas Podhorniak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952838344
PECOS PAC ID: 9032452891
Enrollment ID: I20200817001078
Provider NameMadeeha Abdul Ghaffar
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1194276063
PECOS PAC ID: 8729323357
Enrollment ID: I20200818002183
Provider NameKatherine E Grote
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750847414
PECOS PAC ID: 8527301290
Enrollment ID: I20201214002328
Provider NameOluchi Dike
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740660679
PECOS PAC ID: 6507173796
Enrollment ID: I20210423001316
Provider NameMuhammad Shibli
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1376656413
PECOS PAC ID: 8729976840
Enrollment ID: I20210615002503
Provider NameGerard Moawad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568576858
PECOS PAC ID: 7911931589
Enrollment ID: I20211005003565
Provider NameWesam Hassen Moustafa Hussein
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043539919
PECOS PAC ID: 5890977763
Enrollment ID: I20211014001942
Provider NameSimisola O Awofodu
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1376186684
PECOS PAC ID: 6204226012
Enrollment ID: I20211210000955
Provider NameGinette Ndingue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770015794
PECOS PAC ID: 5698042257
Enrollment ID: I20211214001003
Provider NameBolatito Owolabi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356944136
PECOS PAC ID: 4486040516
Enrollment ID: I20220329002733
Provider NameMohamad Nazari
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1881331510
PECOS PAC ID: 3870974538
Enrollment ID: I20230309001910
Provider NameMaking Mpaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023714862
PECOS PAC ID: 0547634578
Enrollment ID: I20230314003200
Provider NameAlexia Moutsatsos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811024631
PECOS PAC ID: 5890876213
Enrollment ID: I20230406002123
Provider NameShadi Soufi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326250705
PECOS PAC ID: 5991895203
Enrollment ID: I20230629001530
Provider NameIbrahim Jalloh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033604459
PECOS PAC ID: 1658730882
Enrollment ID: I20230706003706
Provider NameJonathan J Mcmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760022321
PECOS PAC ID: 5294156576
Enrollment ID: I20231006001031
Provider NameNkemdilim Adimorah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841941242
PECOS PAC ID: 5890159859
Enrollment ID: I20240112002853
Provider NameRanier Delos Reyes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104497817
PECOS PAC ID: 8729442868
Enrollment ID: I20240306000387
Provider NameSylvia Ndumu-nunyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649921115
PECOS PAC ID: 9830311612
Enrollment ID: I20240419000255
Provider NameOmar Abdul-malik
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1770786105
PECOS PAC ID: 4486809613
Enrollment ID: I20240513000348
Provider NameRoger Chinery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962480517
PECOS PAC ID: 4486541810
Enrollment ID: I20240527000118
Provider NameAdeeb George Bou-saba
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1538797345
PECOS PAC ID: 8022457704
Enrollment ID: I20240605002769
Provider NameBlessing Ngong-nayeh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497046007
PECOS PAC ID: 6002359908
Enrollment ID: I20240620001103
Provider NameChioma Ejemole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700359163
PECOS PAC ID: 3476954314
Enrollment ID: I20240712002403
Provider NameZelbesa V Mack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558749267
PECOS PAC ID: 6507166147
Enrollment ID: I20240829001836
Provider NameMark Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740598804
PECOS PAC ID: 3072799824
Enrollment ID: I20241024003828
Provider NameMaureen Muke
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1497019483
PECOS PAC ID: 4486960317
Enrollment ID: I20241105001440
Provider NameKim Burks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770957300
PECOS PAC ID: 2365799368
Enrollment ID: I20241211003630
Provider NameYiesak Asfaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487019030
PECOS PAC ID: 8426353152
Enrollment ID: I20241211004052
Provider NameWarseal Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336193689
PECOS PAC ID: 0446296529
Enrollment ID: I20250116001610
Provider NameCyril Allen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265562508
PECOS PAC ID: 5597779611
Enrollment ID: I20250124000040
Provider NameFrancisco Hoyos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699785360
PECOS PAC ID: 3971799578
Enrollment ID: I20250217002778
Provider NameMohamed Koroma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104211523
PECOS PAC ID: 6709152739
Enrollment ID: I20250717003128
Provider NamePetrina Bangura
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356117543
PECOS PAC ID: 5991291494
Enrollment ID: I20260121001702
Provider NameWajiha Jahangir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669136586
PECOS PAC ID: 2769916865
Enrollment ID: I20260423000153
Provider NameOlayinka Ibitoye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588895411
PECOS PAC ID: 5496926230
Enrollment ID: I20260520004552

Reviews and Comments

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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.