Dr Mark J Bates, PHD | |
1050 W. Perimeter Rd, Malcolm Grow Medical Center, Andrews Afb, MD 20762 | |
(240) 867-9940 | |
Not Available |
Full Name | Dr Mark J Bates |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 1050 W. Perimeter Rd, Andrews Afb, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679663124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 1296 (Alabama) | Primary |
Entity Name | Sunstone Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548915218 PECOS PAC ID: 8123407806 Enrollment ID: O20220627002304 |
Mailing Address | Practice Location Address |
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Dr Mark J Bates, PHD 1050 W. Perimeter Rd, Malcolm Grow Medical Center, Andrews Afb, MD 20762 Ph: (240) 867-9940 | Dr Mark J Bates, PHD 1050 W. Perimeter Rd, Malcolm Grow Medical Center, Andrews Afb, MD 20762 Ph: (240) 867-9940 |
Dr. Jenna Ermold, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1050 W Perimeter Rd, 79mdos Sgohy, Suite B4027, Andrews Afb, MD 20762 Phone: 240-857-0168 | |
James Favret, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 79 Mdos Sgoh, 1050 W. Perimeter Rd, Andrews Afb, MD 20762 Phone: 240-857-9944 | |
Dr. Jennifer Jean Bodart, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1050 W Perimeter Rd, Malcolm Grow Medical Center, Andrews Afb, MD 20762 Phone: 240-857-8929 |