| Primary Care Associates Of Hagerstown, Llc | |
|
354 Mill St Hagerstown MD 21740-6138 | |
| (301) 797-0210 | |
| (301) 791-6514 |
| Full Name | Primary Care Associates Of Hagerstown, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 354 Mill St, Hagerstown, Maryland |
| Authorized Official Name and Position | Christine A Feathers (PARTNER) |
| Authorized Official Contact | 3017970210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Of Hagerstown, Llc 354 Mill St Hagerstown MD 21740-6138 Ph: (301) 797-0210 | Primary Care Associates Of Hagerstown, Llc 354 Mill St Hagerstown MD 21740-6138 Ph: (301) 797-0210 |
| NPI Number | 1083803530 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 03/14/2022 |
| Medicare PECOS PAC ID | 2264620558 |
|---|---|
| Medicare Enrollment ID | O20110103000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083803530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R100668 (Maryland) | Primary |
| Provider Name | Christine Feathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285635243 PECOS PAC ID: 2961689302 Enrollment ID: I20110610000581 |
| Provider Name | Teresa Ann Dumpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003845975 PECOS PAC ID: 1850537176 Enrollment ID: I20140228000562 |
| Provider Name | Ever Ivan Ponciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750572012 PECOS PAC ID: 1355465923 Enrollment ID: I20170517002552 |
| Provider Name | Lauren N Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427512078 PECOS PAC ID: 6406181601 Enrollment ID: I20190710002602 |
| Provider Name | Kimberly A Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356091888 PECOS PAC ID: 4183009772 Enrollment ID: I20220919000524 |
Dr Francisco L. Andrade Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Mill St, Hagerstown, MD 21740 Phone: 301-739-6620 Fax: 301-739-6628 | |
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