Opal Medical Group, P.a. - Medicare Primary Care in Hagerstown, MD

Opal Medical Group, P.a. is a medicare enrolled primary clinic (Internal Medicine) in Hagerstown, Maryland. The current practice location for Opal Medical Group, P.a. is 1126 Opal Court, Hagerstown, Maryland. For appointments, you can reach them via phone at (240) 420-2666. The mailing address for Opal Medical Group, P.a. is 1126 Opal Court, Hagerstown, Maryland and phone number is (240) 420-2666.

Opal Medical Group, P.a. is licensed to practice in Maryland (license number D52323). The clinic also participates in the medicare program and its NPI number is 1477639862. 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 (240) 420-2666.

Contact Information

Opal Medical Group, P.a.
1126 Opal Court
Hagerstown
MD 21740
(240) 420-2666
(240) 420-0951

Map and Direction


Primary Care Clinic Profile

Full NameOpal Medical Group, P.a.
SpecialityInternal Medicine
Location1126 Opal Court, Hagerstown, Maryland
Authorized Official Name and PositionAmy Renee Hose (OFFICE MANAGER)
Authorized Official Contact2404206909
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Opal Medical Group, P.a.
1126 Opal Court
Hagerstown
MD 21740

Ph: (240) 420-2666
Opal Medical Group, P.a.
1126 Opal Court
Hagerstown
MD 21740

Ph: (240) 420-2666

NPI Details:

NPI Number1477639862
Provider Enumeration Date10/27/2006
Last Update Date02/24/2010

Medicare PECOS Information:

Medicare PECOS PAC ID1658270301
Medicare Enrollment IDO20040102000138

Medical Identifiers

Medical identifiers for Opal Medical Group, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477639862NPI-NPPES
404343000MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D52323 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Opal Medical Group, P.a. acts as a billing entity for following providers:
Provider NameMuhammad K Waseem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184665143
PECOS PAC ID: 8729987474
Enrollment ID: I20040102000165
Provider NameFarid Murshed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366483323
PECOS PAC ID: 7416856174
Enrollment ID: I20040102000179
Provider NameSusan E Lange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811092364
PECOS PAC ID: 7315991171
Enrollment ID: I20050304000515
Provider NameSarala S Crist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063453942
PECOS PAC ID: 1759311947
Enrollment ID: I20050817000578
Provider NameAmanda M Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144372541
PECOS PAC ID: 7618141466
Enrollment ID: I20111114000534
Provider NameValarie T Simon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578804274
PECOS PAC ID: 4183879539
Enrollment ID: I20130309000033
Provider NameJasmine O Pega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083017446
PECOS PAC ID: 0547582066
Enrollment ID: I20141211000084
Provider NameJamie Lynn Wagner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245623842
PECOS PAC ID: 3476874306
Enrollment ID: I20150604000562
Provider NameJemima Blackmon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194179531
PECOS PAC ID: 2860770153
Enrollment ID: I20161020000408
Provider NameLucinda C Bender
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134351984
PECOS PAC ID: 3476692526
Enrollment ID: I20170203000043
Provider NameErin B Stansbury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164937579
PECOS PAC ID: 6103187760
Enrollment ID: I20180223001030
Provider NameJanet Ngwafu Ndumu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710494554
PECOS PAC ID: 6103171566
Enrollment ID: I20180626002637
Provider NameTeal Hutzler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750873097
PECOS PAC ID: 3476809153
Enrollment ID: I20180711001952
Provider NameOmolola Fowler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205320199
PECOS PAC ID: 2365795721
Enrollment ID: I20181101000365
Provider NameSophy K Kamau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265998355
PECOS PAC ID: 0749520153
Enrollment ID: I20190321002446
Provider NameKhadeja Q Baidoo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104467414
PECOS PAC ID: 1052745379
Enrollment ID: I20191219001726
Provider NameAdobea Asiam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659724623
PECOS PAC ID: 7416235288
Enrollment ID: I20200415000073
Provider NameCarmen A Howe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689328395
PECOS PAC ID: 0648665661
Enrollment ID: I20220309002053
Provider NameKimberly A Longo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356091888
PECOS PAC ID: 4183009772
Enrollment ID: I20220919000524
Provider NameYi Y Vance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306545736
PECOS PAC ID: 1850765256
Enrollment ID: I20230327001891
Provider NameChhiar Ruma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215634183
PECOS PAC ID: 5496120156
Enrollment ID: I20230411001251
Provider NameRita Akowuah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073129714
PECOS PAC ID: 3375905839
Enrollment ID: I20230815002564

Reviews and Comments


Internal Medicine in Hagerstown, MD

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Phone: 301-739-6620    Fax: 301-739-6628
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Robert J Trace Jr Md Pa
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Phone: 301-739-2560    Fax: 301-739-0266

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.