HEALTH AND WELLNESS SERVICES OF GARRETT REGIONAL MEDICAL CENTER
Medicare Clinicians for NPI 1871065813
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oakland, MD

Active since December 31, 2018CLIA 21D2164333 · Waiver
69 WOLF ACRES DR LOWR LEVEL, OAKLAND, MD 21550(301) 533-2190 Get Directions

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Health And Wellness Services Of Garrett Regional Medical Center in Oakland, MD bills Medicare for 119 clinicians across 27 Medicare specialties. The largest specialties are Nurse Practitioner with 30, Certified Registered Nurse Anesthetist (CRNA) with 16 and Emergency Medicine with 11. Of these, 3 practice at this address and 38 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

119Clinicians
27Medicare specialties
107PECOS enrolled
110Accept Medicare
119 clinicians in 27 specialties

Nurse Practitioner (30)

Nurse Practitioner
NPI 1790369593
215 N 4TH ST
Oakland, MD 21550
(301) 533-4290
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1205359981
251 N 4TH ST
Oakland, MD 21550
(301) 533-4293
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1982108791
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1023521804
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1144886789
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1134877152
251 N 4TH ST
Oakland, MD 21550
(301) 616-9056
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1881284826
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1528556503
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1427047240
311 N 4TH ST
Oakland, MD 21550
(301) 334-7420
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1831563907
311 N 4TH ST
Oakland, MD 21550
(301) 334-8171
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1255561312
311 N 4TH ST SUITE 101
Oakland, MD 21550
(301) 334-8171
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1760952170
14689 GARRETT HWY STE 3
Oakland, MD 21550
(301) 859-7178
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1538696604
14689 GARRETT HWY STE 3
Oakland, MD 21550
(301) 859-7178
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1184427692
100 PIN OAK LN
Keyser, WV 26726
(304) 597-3500
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1386192250
32 CORPORATE DR
Grantsville, MD 21536
(301) 895-8750
✔ PECOS24 mi
Nurse Practitioner
NPI 1720601313
32 CORPORATE DR
Grantsville, MD 21536
(301) 895-8750
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1528773744
32 CORPORATE DR
Grantsville, MD 21536
(301) 895-8750
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1134559354
8 LEE ST
Moorefield, WV 26836
(304) 530-3700
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1356017008
LAVALE MEDICAL CENTER 922 NATIONAL HIGHWAY
Lavale, MD 21502
(240) 362-7294
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1831939735
33 MEDICAL CENTER DR
Morgantown, WV 26505
(304) 598-6127
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1952029399
922 NATIONAL HWY
Lavale, MD 21502
(240) 362-7294
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1366094823
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 598-4000
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1043982358
925 BISHOP WALSH RD
Cumberland, MD 21502
(301) 759-3800
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1598135659
621 KELLY RD
Cumberland, MD 21502
(301) 722-3270
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1568987840
500 GREENE ST
Cumberland, MD 21502
(301) 724-7616
✔ PECOS37 mi
Nurse Practitioner
NPI 1750867362
12502 WILLOWBROOK RD
Cumberland, MD 21502
(240) 964-8787
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1831546738
11306 BEDFORD RD NE
Cumberland, MD 21502
(240) 362-1537
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1073956157
140 WAYLAND SMITH DR
Uniontown, PA 15401
(724) 437-9854
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1659709558
11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742
(301) 790-8000
✔ PECOS✔ Accepts Medicare93 mi
Nurse Practitioner
NPI 1043517717
4808 MCMAHON BLVD NW
Albuquerque, NM 87114
(505) 272-2900
✔ PECOS✔ Accepts Medicare1,524 mi

Certified Registered Nurse Anesthetist (CRNA) (16)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1780831594
251 N 4TH ST
Oakland, MD 21550
(301) 533-4240
✔ Accepts Medicare1.1 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164241436
123 SANDY ACRES DR
Bruceton Mills, WV 26525
(304) 698-9776
✔ Accepts Medicare23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578133567
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 598-4000
✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396564399
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 288-6050
✔ Accepts Medicare35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396934550
1 AMALIA DR
Buckhannon, WV 26201
(304) 473-2000
✔ Accepts Medicare53 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528887775
109 CANDLELITE DR
Mc Murray, PA 15317
(724) 825-9817
✔ Accepts Medicare71 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154396612
300 S PRESTON ST
Ranson, WV 25438
(304) 728-1755
✔ Accepts Medicare82 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710389259
1 NOLTE DR
Kittanning, PA 16201
(724) 543-8500
✔ Accepts Medicare98 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588050371
9300 DEWITT LOOP
Ft Belvoir, VA 22060
(571) 231-3224
129 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902535271
2401 W BELVEDERE AVE
Baltimore, MD 21215
(202) 687-0100
✔ Accepts Medicare146 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215577309
655 W 8TH ST
Jacksonville, FL 32209
(904) 244-0411
✔ PECOS✔ Accepts Medicare637 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982287686
2825 PARKLAWN DR
Midwest City, OK 73110
(724) 388-1783
✔ Accepts Medicare1,024 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295006211
2127 E HARMONY RD STE 200
Fort Collins, CO 80528
(970) 297-6300
✔ PECOS✔ Accepts Medicare1,359 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508972852
308 RESLER RIDGE DR
El Paso, TX 79912
(727) 517-6529
✔ PECOS1,608 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669989877
1200 N BEAVER ST
Flagstaff, AZ 86001
(928) 213-6235
✔ PECOS✔ Accepts Medicare1,790 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154656049
1551 E TANGERINE RD
Oro Valley, AZ 85755
(520) 901-3500
✔ PECOS✔ Accepts Medicare1,824 mi

Emergency Medicine (11)

Emergency Medicine
NPI 1528007739
101 STADIUM DR
Morgantown, WV 26506
(304) 598-4000
✔ PECOS✔ Accepts Medicare35 mi
Emergency Medicine
NPI 1487664835
48 VIP WAY
Fairmont, WV 26554
(304) 366-6200
✔ PECOS✔ Accepts Medicare41 mi
Emergency Medicine
NPI 1730455924
2500 HOSPITAL DR EM ADMIN SUITE
Martinsburg, WV 25401
(304) 264-1287
✔ PECOS✔ Accepts Medicare76 mi
Emergency Medicine
NPI 1003347576
800 WHEELING AVE
Glen Dale, WV 26038
(304) 845-3211
✔ PECOS✔ Accepts Medicare82 mi
Emergency Medicine
NPI 1386694735
1310 SOUTHERN AVE SE
Washington, DC 20032
(202) 574-6000
✔ PECOS✔ Accepts Medicare135 mi
Emergency Medicine
NPI 1497705701
1310 SOUTHERN AVE SE
Washington, DC 20032
(202) 574-6000
✔ PECOS✔ Accepts Medicare135 mi
Emergency Medicine
NPI 1154348787
200 HOSPITAL DR
Galax, VA 24333
(276) 236-8181
✔ PECOS✔ Accepts Medicare206 mi
Emergency Medicine
NPI 1699035162
170 MANNING DR # 7594 DEPT. EMERGENCY MEDICINE, POB 1ST FLOOR
Chapel Hill, NC 27514
(919) 966-6442
✔ PECOS✔ Accepts Medicare242 mi
Emergency Medicine
NPI 1508027434
234 E 149TH ST
Bronx, NY 10451
(718) 579-6010
✔ PECOS✔ Accepts Medicare306 mi
Emergency Medicine
NPI 1285841940
100 MERCY WAY
Joplin, MO 64804
(417) 556-2727
✔ PECOS✔ Accepts Medicare837 mi
Emergency Medicine
NPI 1518696947
2920 N 4TH ST
Flagstaff, AZ 86004
(928) 522-9874
✔ PECOS✔ Accepts Medicare1,788 mi

Family Practice (11)

Family Practice
NPI 1194727487
69 WOLF ACRES DR
Oakland, MD 21550
(301) 334-4400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790704914
311 N 4TH ST SUITE 1
Oakland, MD 21550
(301) 334-7855
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1033103411
311 N 4TH ST
Oakland, MD 21550
(301) 334-8171
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1285627604
311 N 4TH ST
Oakland, MD 21550
(301) 334-8171
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1184646341
311 N 4TH ST SUITE 1
Oakland, MD 21550
(301) 334-7855
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1811379563
311 N 4TH ST STE 1
Oakland, MD 21550
(301) 334-7855
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1154588051
255 N 4TH ST STE 1
Oakland, MD 21550
(301) 533-1046
✔ PECOS✔ Accepts Medicare1.2 mi
Family Practice
NPI 1508825613
1027 MEMORIAL DR
Oakland, MD 21550
(301) 533-3300
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1992732028
1027 MEMORIAL DR
Oakland, MD 21550
(301) 533-3300
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1447278320
32 CORPORATE DR
Grantsville, MD 21536
(301) 895-8750
✔ PECOS✔ Accepts Medicare24 mi
Family Practice
NPI 1083683213
1500 VILLAGE RUN RD SUITE 308
Wexford, PA 15090
(724) 934-1900
✔ PECOS✔ Accepts Medicare92 mi

Cardiovascular Disease (Cardiology) (5)

Cardiovascular Disease (Cardiology)
NPI 1285877688
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 598-4000
✔ PECOS✔ Accepts Medicare35 mi
Cardiovascular Disease (Cardiology)
NPI 1164696530
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 598-4800
✔ PECOS✔ Accepts Medicare35 mi
Cardiovascular Disease (Cardiology)
NPI 1477999159
1 MEDICAL CENTER DR
Morgantown, WV 26506
(626) 375-2988
✔ PECOS✔ Accepts Medicare35 mi
Cardiovascular Disease (Cardiology)
NPI 1760743728
720 ESKENAZI AVE
Indianapolis, IN 46202
(317) 880-7666
✔ PECOS✔ Accepts Medicare363 mi
Cardiovascular Disease (Cardiology)
NPI 1174521603
37914 DAUGHTERY RD
Zephyrhills, FL 33541
(813) 715-4446
✔ PECOS✔ Accepts Medicare784 mi

Pediatric Medicine (5)

Pediatric Medicine
NPI 1902398662
500 GREENE ST
Cumberland, MD 21502
(301) 724-7616
✔ PECOS37 mi
Pediatric Medicine
NPI 1750383162
500 GREENE ST
Cumberland, MD 21502
(301) 724-7616
✔ PECOS37 mi
Pediatric Medicine
NPI 1043212459
500 GREENE ST
Cumberland, MD 21502
(301) 724-7616
✔ PECOS✔ Accepts Medicare37 mi
Pediatric Medicine
NPI 1619979051
500 GREENE ST
Cumberland, MD 21502
(301) 724-7616
✔ PECOS37 mi
Pediatric Medicine
NPI 1023010436
500 GREENE ST
Cumberland, MD 21502
(301) 724-7616
✔ PECOS✔ Accepts Medicare37 mi

General Surgery (4)

General Surgery
NPI 1285922724
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
General Surgery
NPI 1427129840
255 NORTH 4TH STREET SUITE 2
Oakland, MD 21550
(301) 334-8282
✔ PECOS✔ Accepts Medicare1.2 mi
General Surgery
NPI 1396845384
255 NORTH 4TH STREET SUITE 2
Oakland, MD 21550
(301) 334-8282
✔ PECOS✔ Accepts Medicare1.2 mi
General Surgery
NPI 1922460039
BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET
Springfield, MA 01199
(413) 794-0000
✔ PECOS✔ Accepts Medicare403 mi

Anesthesiology (3)

Anesthesiology
NPI 1407950694
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Anesthesiology
NPI 1750366860
325 RESERVE GATE TER
Silver Spring, MD 20905
(240) 417-9774
✔ PECOS✔ Accepts Medicare129 mi
Anesthesiology
NPI 1477760676
1250 E MARSHALL ST
Richmond, VA 23298
(804) 828-4601
✔ PECOS✔ Accepts Medicare167 mi

Clinical Social Worker (3)

Clinical Social Worker
NPI 1457900052
69 WOLF ACRES DR
Oakland, MD 21550
(301) 533-2190
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1396104188
21287 GARRETT HWY STE 200
Oakland, MD 21550
(304) 435-8892
✔ PECOS✔ Accepts Medicare9.2 mi
Clinical Social Worker
NPI 1023246196
922 NATIONAL HWY
Lavale, MD 21502
(240) 362-7294
✔ PECOS✔ Accepts Medicare35 mi

Hospitalist (3)

Hospitalist
NPI 1326401902
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Hospitalist
NPI 1578586236
160 NW 170TH ST
North Miami Beach, FL 33169
(305) 651-1100
✔ PECOS✔ Accepts Medicare929 mi
Hospitalist
NPI 1548383086
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 494-1164
✔ PECOS✔ Accepts Medicare2,225 mi

Internal Medicine (3)

Internal Medicine
NPI 1396732129
251 N 4TH ST
Oakland, MD 21550
(301) 533-4000
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1710548177
1830 E MONUMENT ST FL 4
Baltimore, MD 21287
(443) 927-3140
✔ PECOS✔ Accepts Medicare150 mi
Internal Medicine
NPI 1235361007
1906 BELLEVIEW AVE SE
Roanoke, VA 24014
(540) 981-7000
✔ PECOS✔ Accepts Medicare151 mi

Orthopedic Surgery (3)

Orthopedic Surgery
NPI 1326249392
311 N 4TH ST SUITE #3
Oakland, MD 21550
(301) 334-1034
✔ PECOS✔ Accepts Medicare1.2 mi
Orthopedic Surgery
NPI 1437141066
311 N 4TH ST
Oakland, MD 21550
(301) 334-1034
✔ PECOS✔ Accepts Medicare1.2 mi
Orthopedic Surgery
NPI 1013087147
311 N 4TH ST SUITE 3
Oakland, MD 21550
(301) 334-1034
✔ PECOS✔ Accepts Medicare1.2 mi

Vascular Surgery (3)

Vascular Surgery
NPI 1275997348
1 MEDICAL CENTER DR
Morgantown, WV 26506
(855) 988-2273
✔ PECOS✔ Accepts Medicare35 mi
Vascular Surgery
NPI 1609228733
205 S FRONT ST BRADY 9TH FLOOR ATTN: VANESSA JORDAN
Harrisburg, PA 17104
(717) 231-8755
✔ PECOS✔ Accepts Medicare146 mi
Vascular Surgery
NPI 1891114328
6780 MAYFIELD RD
Mayfield Heights, OH 44124
(216) 903-6689
✔ PECOS✔ Accepts Medicare182 mi

Dermatology (2)

Dermatology
NPI 1760711915
2410 COMMERCE CT SW
Huntsville, AL 35801
(256) 539-7722
✔ PECOS✔ Accepts Medicare512 mi
Dermatology
NPI 1740243815
21840 NORMANDIE AVE
Torrance, CA 90502
(310) 222-5015
✔ PECOS✔ Accepts Medicare2,179 mi

General Practice (2)

General Practice
NPI 1447633516
100 PIN OAK LN
Keyser, WV 26726
(304) 597-3500
✔ PECOS✔ Accepts Medicare21 mi
General Practice
NPI 1528276003
10110 SOUTH 7650 EAST
Crow Agency, MT 59022
(406) 638-3500
✔ PECOS✔ Accepts Medicare1,488 mi

Podiatry (2)

Podiatry
NPI 1649766809
5800 RIDGE AVE
Philadelphia, PA 19128
(215) 483-9900
✔ PECOS✔ Accepts Medicare227 mi
Podiatry
NPI 1730530015
2100 E LAKE COOK RD STE 1000
Buffalo Grove, IL 60089
(210) 383-3999
✔ PECOS✔ Accepts Medicare486 mi

Pulmonary Disease (2)

Pulmonary Disease
NPI 1306808159
12502 WILLOWBROOK RD SUITE #280
Cumberland, MD 21502
(240) 964-8750
✔ PECOS✔ Accepts Medicare39 mi
Pulmonary Disease
NPI 1124042684
2000 FOUNDATION WAY SUITE 2400
Martinsburg, WV 25401
(304) 264-9080
✔ PECOS✔ Accepts Medicare76 mi

Urology (2)

Urology
NPI 1811992258
600 RIDGELY AVE SUITE 130
Annapolis, MD 21401
(410) 266-8049
✔ PECOS✔ Accepts Medicare157 mi
Urology
NPI 1962021873
2500 N STATE ST
Jackson, MS 39216
(601) 984-6603
✔ PECOS✔ Accepts Medicare776 mi

Addiction Medicine (1)

Addiction Medicine
NPI 1942881909
69 WOLF ACRES DR
Oakland, MD 21550
(301) 533-2190
✔ PECOS✔ Accepts MedicareSame address

Advanced Heart Failure and Transplant Cardiology (1)

Advanced Heart Failure and Transplant Cardiology
NPI 1922277235
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 598-4800
✔ PECOS✔ Accepts Medicare35 mi

Clinical Psychologist (1)

Clinical Psychologist
NPI 1477911428
31452 VETERANS MEMORIAL HWY
Terra Alta, WV 26764
(304) 789-1029
✔ PECOS✔ Accepts Medicare7.8 mi

Infectious Disease (1)

Infectious Disease
NPI 1396942223
12502 WILLOWBROOK RD STE 400
Cumberland, MD 21502
(240) 964-8913
✔ PECOS✔ Accepts Medicare39 mi

Interventional Cardiology (1)

Interventional Cardiology
NPI 1457516544
1733 HOWELL RD
Hagerstown, MD 21740
(301) 797-2525
✔ PECOS✔ Accepts Medicare92 mi

Nephrology (1)

Nephrology
NPI 1376657494
1 STADIUM DRIVE
Morgantown, WV 26506
(304) 598-4800
✔ PECOS✔ Accepts Medicare35 mi

Obstetrics/Gynecology (1)

Obstetrics/Gynecology
NPI 1336346691
880 MEMORIAL DR LOWR LEVEL
Oakland, MD 21550
(301) 334-1177
✔ PECOS✔ Accepts Medicare1.2 mi

Psychiatry (1)

Psychiatry
NPI 1659393304
FAMILY HEALTH AND WELLNESS 69 WOLF ACRES LOWER LEVEL
Oakland, MD 21550
(301) 533-2190
✔ PECOS✔ Accepts Medicare4.9 mi

Qualified Audiologist (1)

Qualified Audiologist
NPI 1629853718
514 NEW CREEK HWY STE 3
Keyser, WV 26726
(267) 269-6335
21 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Health And Wellness Services Of Garrett Regional Medical Center appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.