Jayanthan.m.d.,p.a - Medicare Primary Care in Waldorf, MD

Jayanthan.m.d.,p.a is a medicare enrolled primary clinic (Internal Medicine) in Waldorf, Maryland. The current practice location for Jayanthan.m.d.,p.a is 3328 Old Washington Rd, Waldorf, Maryland. For appointments, you can reach them via phone at (301) 932-4954. The mailing address for Jayanthan.m.d.,p.a is 3328 Old Washington Rd, Waldorf, Maryland and phone number is (301) 932-4954.

Jayanthan.m.d.,p.a is licensed to practice in Maryland (license number D45737). The clinic also participates in the medicare program and its NPI number is 1316111651. 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 (301) 932-4954.

Contact Information

Jayanthan.m.d.,p.a
3328 Old Washington Rd
Waldorf
MD 20602-3204
(301) 932-4954
(301) 932-5095

Primary Care Clinic Profile

Full NameJayanthan.m.d.,p.a
SpecialityInternal Medicine
Location3328 Old Washington Rd, Waldorf, Maryland
Authorized Official Name and PositionNirmaladevi Jayanthan (PRESIDENT)
Authorized Official Contact3019324954
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jayanthan.m.d.,p.a
3328 Old Washington Rd
Waldorf
MD 20602-3204

Ph: (301) 932-4954
Jayanthan.m.d.,p.a
3328 Old Washington Rd
Waldorf
MD 20602-3204

Ph: (301) 932-4954

NPI Details:

NPI Number1316111651
Provider Enumeration Date04/17/2008
Last Update Date03/06/2009

Medicare PECOS Information:

Medicare PECOS PAC ID7113996794
Medicare Enrollment IDO20051017000314

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Medical Identifiers

Medical identifiers for Jayanthan.m.d.,p.a such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316111651NPI-NPPES
400866900MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D45737 (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. Jayanthan.m.d.,p.a acts as a billing entity for following providers:
Provider NameNirmaladevi Jayanthan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134297450
PECOS PAC ID: 1557330131
Enrollment ID: I20051117000281

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