Um Fdsp Associates, P.a. - Medicare Dental Clinic in Baltimore, MD

Um Fdsp Associates, P.a. is a medicare enrolled dental clinic (Dentist) in Baltimore, Maryland. The current practice location for Um Fdsp Associates, P.a. is 650 W Baltimore St, Baltimore, Maryland. For appointments, you can reach them via phone at (410) 706-7625. The mailing address for Um Fdsp Associates, P.a. is 650 W Baltimore St, Room 5201, Baltimore, Maryland and phone number is (410) 706-7625.

Um Fdsp Associates, P.a. is licensed to practice in Maryland (license number 5034). The clinic also participates in the medicare program and its NPI number is 1104909449. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (410) 706-7625.

Contact Information

Um Fdsp Associates, P.a.
650 W Baltimore St
Baltimore
MD 21201-1510
(410) 706-7625
(410) 706-3028

Dental Care Clinic Profile

Full NameUm Fdsp Associates, P.a.
SpecialityDentist
Location650 W Baltimore St, Baltimore, Maryland
Authorized Official Name and PositionMark E Sutter (FISCAL BUSINESS MANAGER)
Authorized Official Contact4107060652
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Um Fdsp Associates, P.a.
650 W Baltimore St
Room 5201
Baltimore
MD 21201-1510

Ph: (410) 706-7625
Um Fdsp Associates, P.a.
650 W Baltimore St
Baltimore
MD 21201-1510

Ph: (410) 706-7625

NPI Details:

NPI Number1104909449
Provider Enumeration Date10/23/2006
Last Update Date04/01/2021

Medicare PECOS Information:

Medicare PECOS PAC ID3375506306
Medicare Enrollment IDO20041110000376

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Medical Identifiers

Medical identifiers for Um Fdsp Associates, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104909449NPI-NPPES
406017200MedicaidMD
218445197-0001OtherMDCAREFIRST BCBS FEDERAL
642115-01OtherMDCAREFIRST BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 5034 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Um Fdsp Associates, P.a. acts as a billing entity for following providers:
Provider NameTimothy F Meiller
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1134283427
PECOS PAC ID: 3274585146
Enrollment ID: I20050218000571

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