Pax River Medical Clinic, Llc in Lexington Park, MD

Pax River Medical Clinic, Llc is a medicare enrolled primary clinic (General Practice) in Lexington Park, Maryland. The current practice location for Pax River Medical Clinic, Llc is 46940 S Shangri La Dr, Suite #19, Lexington Park, Maryland. For appointments, you can reach them via phone at (301) 863-8101. The mailing address for Pax River Medical Clinic, Llc is 46940 S Shangri La Dr, Suite #19, Lexington Park, Maryland and phone number is (301) 863-8101.

Pax River Medical Clinic, Llc is licensed to practice in Maryland (license number H0055958). The clinic also participates in the medicare program and its NPI number is 1083807085. 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 (301) 863-8101.

Contact Information

	Pax River Medical Clinic, Llc
	46940 S Shangri La Dr Suite #19 Lexington Park MD 20653-1037
	(301) 863-8101
	(301) 863-8130

Map and Direction

Primary Care Clinic Profile

Full Name	Pax River Medical Clinic, Llc
Speciality	General Practice
Location	46940 S Shangri La Dr, Lexington Park, Maryland
Authorized Official Name and Position	Katherine Ann Martin (OWNER)
Authorized Official Contact	3018638101
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Pax River Medical Clinic, Llc 46940 S Shangri La Dr Suite #19 Lexington Park MD 20653-1037 Ph: (301) 863-8101	Pax River Medical Clinic, Llc 46940 S Shangri La Dr Suite #19 Lexington Park MD 20653-1037 Ph: (301) 863-8101

NPI Details:

NPI Number	1083807085
Provider Enumeration Date	08/22/2007
Last Update Date	05/09/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	6507959004
Medicare Enrollment ID	O20070829000380

Medical Identifiers

Medical identifiers for Pax River Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083807085	NPI	-	NPPES
1437267986	Other	MD	INDIVIDUAL NPI #
011218600	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	H0055958 (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. Pax River Medical Clinic, Llc acts as a billing entity for following providers:

Provider Name	Katherine A Martin
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1437267986 PECOS PAC ID: 4082502703 Enrollment ID: I20070119000332

Reviews and Comments

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Pax River Medical Clinic, Llc - Medicare Primary Care in Lexington Park, MD