| Chesapeake Telemedicine | |
|
2214 Old Emmorton Rd Ste 210 Bel Air MD 21015-6470 | |
| (443) 402-1139 | |
| (410) 638-2489 |
| Full Name | Chesapeake Telemedicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2214 Old Emmorton Rd Ste 210, Bel Air, Maryland |
| Authorized Official Name and Position | Credentialing Director (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 4434021139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesapeake Telemedicine 2214 Old Emmorton Rd Bel Air MD 21015-6470 Ph: () - | Chesapeake Telemedicine 2214 Old Emmorton Rd Ste 210 Bel Air MD 21015-6470 Ph: (443) 402-1139 |
| NPI Number | 1427835875 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 0042667271 |
|---|---|
| Medicare Enrollment ID | O20231109002815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427835875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maurice N Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679573687 PECOS PAC ID: 3173416567 Enrollment ID: I20040209000204 |
| Provider Name | Jackline Ukadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558853747 PECOS PAC ID: 7416291109 Enrollment ID: I20181206002751 |
| Provider Name | Thomas J Gilbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497706998 PECOS PAC ID: 3375645765 Enrollment ID: I20240223001550 |
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