| Transitioncare LLC | |
|
10301 Christie Rd Ne Cumberland MD 21502-8326 | |
| (301) 724-1400 | |
| Not Available |
| Full Name | Transitioncare LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10301 Christie Rd Ne, Cumberland, Maryland |
| Authorized Official Name and Position | Jennifer Chastain (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 3304934443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitioncare LLC Po Box 37546 Baltimore MD 21297-3546 Ph: (301) 944-0034 | Transitioncare LLC 10301 Christie Rd Ne Cumberland MD 21502-8326 Ph: (301) 724-1400 |
| NPI Number | 1689925000 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 8527213396 |
|---|---|
| Medicare Enrollment ID | O20130227000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689925000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | William Lamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639156938 PECOS PAC ID: 2264492479 Enrollment ID: I20041012001564 |
| Provider Name | Jamie Gera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659399103 PECOS PAC ID: 2163429747 Enrollment ID: I20061024000109 |
| Provider Name | Muhammad Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710186291 PECOS PAC ID: 0345337671 Enrollment ID: I20071101000683 |
| Provider Name | Michele Wagoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407973894 PECOS PAC ID: 7315032026 Enrollment ID: I20081209000698 |
| Provider Name | Connie J Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013224534 PECOS PAC ID: 1759555063 Enrollment ID: I20111123000412 |
| Provider Name | Danielle R Glotfelty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417082173 PECOS PAC ID: 5597893073 Enrollment ID: I20131231001851 |
| Provider Name | Patricia Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124450176 PECOS PAC ID: 5698907897 Enrollment ID: I20140422000153 |
| Provider Name | Ashley G Reese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588919591 PECOS PAC ID: 6901057959 Enrollment ID: I20150709000085 |
| Provider Name | James C Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508972308 PECOS PAC ID: 9638132467 Enrollment ID: I20190726000281 |
| Provider Name | Alvin L Reaves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457337768 PECOS PAC ID: 3072538594 Enrollment ID: I20191209002581 |
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