| Sherppard Pratt at Howard County | |
|
9030 State Route 108 Ste A Columbia MD 21045-1990 | |
| (410) 740-1901 | |
| (410) 740-8932 |
| Full Name | Sherppard Pratt at Howard County |
|---|---|
| Speciality | Clinic/Center |
| Location | 9030 State Route 108 Ste A, Columbia, Maryland |
| Authorized Official Name and Position | Sue Kessler (DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 4103828111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherppard Pratt at Howard County Po Box 791888 Baltimore MD 21279-1888 Ph: (301) 662-0099 | Sherppard Pratt at Howard County 9030 State Route 108 Ste A Columbia MD 21045-1990 Ph: (410) 740-1901 |
| NPI Number | 1104914464 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Medicare PECOS PAC ID | 8628064151 |
|---|---|
| Medicare Enrollment ID | O20260605001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104914464 | NPI | - | NPPES |
| K011WA | Other | MD | MDBCBS GROUP NUMBER |
| T806 | Other | MD | BLUE CHOICE GROUP NUMBER |
| 264161501 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Tammy Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225384431 PECOS PAC ID: 8123277050 Enrollment ID: I20240307003866 |
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